Doctor Name: | JULIE ELMORE SMITH |
NPI Number: | 1417999319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNI |
License Number: | 1-047011 |
Business Practice Address: | 11416 Old Highway 43 Axis, AL - 365054646 |
Business Phone Number: | 2516753228 |
Business Fax Number: | 2516754209 |
Mailing Address: | Po Box 142, AXIS |
State: | AL |
Postal Code: | 365050142 |
Phone Number: | 2516753228 |
Fax Number: | 2516754209 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WI0500X |
License Number: | 1-047011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Infusion Therapy |
Taxonomy Definition: |