Smith, Samantha
Smith, Samantha is an individual health care provider with primary practice located at 101 Physicians Way Ste 111 , Lebanon TN 37090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Samantha can be contacted via phone (615) 449-0990.Contact Information
Primary practice address
101 Physicians Way Ste 111
Lebanon TN 37090
Phone: (615) 449-0990
Fax: (615) 449-4835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19639 | Tennessee |
Profile Details
| NPI number | 1811380926 |
|---|---|
| LBN Legal business name | Smith, Samantha |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2015 |
| Last updated | Jun 22nd, 2018 - about 8 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 | 1811380926 | NPPES |
| Tennessee | MEDICAID | Q016413 |
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