| Doctor Name: | CASEY J SMITH |
| NPI Number: | 1417206491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007634 |
| Business Practice Address: | 3507 Hill St Hope Mills, NC - 283481870 |
| Business Phone Number: | 9103390901 |
| Business Fax Number: | 9103390904 |
| Mailing Address: | 3895 Wilkersham Way, FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283068905 |
| Phone Number: | 9109733407 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2012 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 3007634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |