Smitherman, Ethan Tyler

Smitherman, Ethan Tyler is an individual health care provider with primary practice located at 324 W Valley St Ste 108 , Hernando MS 38632-1749. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Smitherman, Ethan Tyler can be contacted via phone (901) 491-0130.

Contact Information

Primary practice address
324 W Valley St Ste 108 Hernando MS 38632-1749
Phone: (901) 491-0130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 905753 Mississippi

Profile Details

NPI number 1316643398
LBN Legal business name Smitherman, Ethan Tyler
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2023
Last updated Feb 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.

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