Doctor Name: | TREVOR ERICSON SMITH |
NPI Number: | 1174957526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C,HB-BC,DC FASA. |
License Number: | APN0000016988 |
Business Practice Address: | 218 Nonaville Rd Mount Juliet, TN - 371225097 |
Business Phone Number: | 6156016087 |
Business Fax Number: | |
Mailing Address: | 1900 Richard Jones Rd, #o-1 NASHVILLE |
State: | TN |
Postal Code: | 372152904 |
Phone Number: | 6152795419 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2013 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000016988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |