Most Relevant Information
Provider Data
| NPI Number: | 1003819707 |
| Provider Name: | MICHAEL DAVID SMITH NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN7641 |
Most Important Dates
| Enumeration Date: | 05/27/2005 |
| Last Updated: | 08/26/2024 |
Provider Practice Location
3019 PEOPLES ST # CONDO300
JOHNSON CITY
TN
376041977
Practice Location Phone/Fax
| Phone: | 4234612100 |
| Fax: | 4234612199 |
Provider Mailing Location
PO BOX 9
KINGSPORT
TN
376620009
Provider Mailing Phone/Fax
| Phone: | 4238572093 |
| Fax: | 4233903340 |