Healthcare Provider Details

I. General information

NPI: 1922482587
Provider Name (Legal Business Name): MRS. HOPE R SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S MAIN ST
HOPKINSVILLE KY
42240-2079
US

IV. Provider business mailing address

PO BOX 52
CROFTON KY
42217-0052
US

V. Phone/Fax

Practice location:
  • Phone: 270-874-5131
  • Fax: 270-874-5513
Mailing address:
  • Phone: 270-339-3803
  • Fax: 270-424-1094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number3009556
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3009556
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: