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General NPI Number Information
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NPI Number | 1043923626
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Entity Type | Individual
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Provider Name | SHERREN SMITH RN-BSN NURSE
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Gender | Female
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 3701 8TH ST STE C
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City | MERIDIAN
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State | MS
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Zip | 39307-6083
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Country | US
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Telephone | 601-479-3792
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 45TH AVE
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City | MERIDIAN
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State | MS
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Zip | 39307-5111
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Country | US
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Telephone | 601-479-3792
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #7
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #8
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 880683
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License Number State | MS
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Taxonomy #9
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 880683
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License Number State | MS
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