Doctor Name: | MRS. BEVERLY KAY SMITH |
NPI Number: | 1013983808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN0000007837 |
Business Practice Address: | 490 Dunlop Ln Clarksville, TN - 370405007 |
Business Phone Number: | 9312457001 |
Business Fax Number: | 9312457069 |
Mailing Address: | Po Box 3799, CLARKSVILLE |
State: | TN |
Postal Code: | 370433799 |
Phone Number: | 9312457000 |
Fax Number: | 9312457069 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000007837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |