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NPI Code Detail

MEDICARE: YOLANDA M SMITH MSN, APRN, PMHNP-BC

MEDICARE: YOLANDA M SMITH MSN, APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP145472TX

General Provider Information

NPI Number : 1093365439
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA M SMITH MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 9659 N. SAM HOUSTON PKWY E.
Second Line : STE. 150 #197
City : HUMBLE
State : TX
Zip : 77396-5135
Country : US
Telephone Number : 832-267-1835
Fax Number :
Provider Business Practice Location Address
First Line : 23051 KINGWOOD PLACE DR STE 110
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3962
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2019
Last Update Date : 02/15/2024

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