Healthcare Provider Details

I. General information

NPI: 1710715263
Provider Name (Legal Business Name): CHRISTOPHER SMITH APRN, NNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

106 BARLEY BARN CT
GREENVILLE SC
29607-6055
US

V. Phone/Fax

Practice location:
  • Phone: 828-776-6126
  • Fax:
Mailing address:
  • Phone: 231-620-8277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number262487
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number0000000
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5020523
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: