Healthcare Provider Details

I. General information

NPI: 1205759743
Provider Name (Legal Business Name): APRIL LEAH SMITH HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 POPLAR AVE STE 108B
MEMPHIS TN
38117-7503
US

IV. Provider business mailing address

6701 SLASH PINE DR
WALLS MS
38680-9560
US

V. Phone/Fax

Practice location:
  • Phone: 901-767-3045
  • Fax:
Mailing address:
  • Phone: 901-216-3666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1140
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: