| Doctor Name: | BRENDA LEA SMITH |
| NPI Number: | 1487677068 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-062996 |
| Business Practice Address: | 8010 Moffat Road Semmes, AL - 365755827 |
| Business Phone Number: | 2516458946 |
| Business Fax Number: | 2516458976 |
| Mailing Address: | Po Box 850489, MOBILE |
| State: | AL |
| Postal Code: | 366850489 |
| Phone Number: | 2513423949 |
| Fax Number: | 2516313361 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 02/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-062996 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |