Healthcare Provider Details

I. General information

NPI: 1740734334
Provider Name (Legal Business Name): CHRISTINA LYNN SMITH DNP, ARNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2016
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2882 14TH AVE N
ST PETERSBURG FL
33713-5520
US

IV. Provider business mailing address

2882 14TH AVE N
ST PETERSBURG FL
33713-5520
US

V. Phone/Fax

Practice location:
  • Phone: 941-720-6985
  • Fax: 574-990-4411
Mailing address:
  • Phone: 941-720-6985
  • Fax: 574-990-4411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 3254462
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: