Smith, Regina P

Smith, Regina P is an individual health care provider with primary practice located at 129 Nc Highway 109 S , Mount Gilead NC 27306-8941. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Regina P can be contacted via phone (910) 572-1979.

Contact Information

Primary practice address
129 Nc Highway 109 S Mount Gilead NC 27306-8941
Phone: (910) 572-1979
Fax: (970) 572-1961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0050-02425 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5002425 North Carolina

Profile Details

NPI number 1386710598
LBN Legal business name Smith, Regina P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Feb 18th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386710598 NPPES
North Carolina MEDICAID 7003896

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