| Doctor Name: | MRS. SANDRA L. SMITH |
| NPI Number: | 1548694359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN, FNP-BC |
| License Number: | APN 0000006540 |
| Business Practice Address: | 9852 Highway 22 Dresden, TN - 382251804 |
| Business Phone Number: | 7313642210 |
| Business Fax Number: | 7313642986 |
| Mailing Address: | 9852 Highway 22, DRESDEN |
| State: | TN |
| Postal Code: | 382251804 |
| Phone Number: | 7313642210 |
| Fax Number: | 7313642986 |
| NPI Enumeration Date: | 08/28/2013 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | APN 0000006540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |