Healthcare Provider Details

I. General information

NPI: 1578890224
Provider Name (Legal Business Name): DANA LENORE SMITH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 FOREST DR STE 200
COLUMBIA SC
29204-4010
US

IV. Provider business mailing address

421 PROVIDENCE PLANTATION CIR
COLUMBIA SC
29203-9003
US

V. Phone/Fax

Practice location:
  • Phone: 803-799-1922
  • Fax: 803-799-6729
Mailing address:
  • Phone: 843-797-3636
  • Fax: 843-797-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3951
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3951
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: