Smith, Carrie Renee
Smith, Carrie Renee is an individual health care provider with primary practice located at 141 Hillcrest Dr , Clarksville TN 37043-5088. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Carrie Renee can be contacted via phone (931) 552-4340.Contact Information
Primary practice address
141 Hillcrest Dr
Clarksville TN 37043-5088
Phone: (931) 552-4340
Fax: (931) 552-0999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3622 | Tennessee |
Profile Details
| NPI number | 1336343698 |
|---|---|
| LBN Legal business name | Smith, Carrie Renee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Nov 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336343698 | NPPES |
| Illinois | MEDICAID | 085003827 | |
| Illinois | MEDICAID | PENDING |
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