Healthcare Provider Details

I. General information

NPI: 1346126729
Provider Name (Legal Business Name): SHEILA CHERIE URBINA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA CHERIE SMITH RN

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MEDICAL CENTER BLVD
FAYETTEVILLE TN
37334-2684
US

IV. Provider business mailing address

10 LANCER DR
FAYETTEVILLE TN
37334-6729
US

V. Phone/Fax

Practice location:
  • Phone: 931-438-7500
  • Fax:
Mailing address:
  • Phone: 915-491-9935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number242018
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number40451
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: