Provider Demographics
NPI:1821850066
Name:SMITH, DANA MICHELLE (APRN-C)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:MICHELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7032 E BRAINERD RD STE A
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3882
Mailing Address - Country:US
Mailing Address - Phone:336-299-3046
Mailing Address - Fax:423-515-1002
Practice Address - Street 1:7032 E BRAINERD RD STE A
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3882
Practice Address - Country:US
Practice Address - Phone:336-299-3046
Practice Address - Fax:423-515-1002
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000034476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily