Most Relevant Information
Provider Data
| NPI Number: | 1003300351 |
| Provider Name: | CARLY MICHELLE SMITH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 24339 |
Most Important Dates
| Enumeration Date: | 06/20/2018 |
| Last Updated: | 06/20/2019 |
Provider Practice Location
2416 21ST AVE S STE 201
NASHVILLE
TN
372125318
Practice Location Phone/Fax
| Phone: | 6155826726 |
| Fax: |
Provider Mailing Location
112 PAIGE PARK LN
GOODLETTSVILLE
TN
370723163
Provider Mailing Phone/Fax
| Phone: | 6154200797 |
| Fax: |