Healthcare Provider Details

I. General information

NPI: 1326950841
Provider Name (Legal Business Name): KRYSTLE SMITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 HUFFMAN MILL RD
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

3051 DIANA CIR
BURLINGTON NC
27215-7410
US

V. Phone/Fax

Practice location:
  • Phone: 336-538-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number225313
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: