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1588518021 NPI number — PAULA WHITTEN SMITH PMHNP-BC

NPI Number: 1588518021
Health Care Provider/Practitioner: PAULA WHITTEN SMITH PMHNP-BC

Information about “1588518021” NPI (PAULA WHITTEN SMITH PMHNP-BC) exists in 1588518021 in HTML format HTML  |  1588518021 in plain Text format TXT  |  1588518021 in PDF (Portable Document Format) PDF  |  1588518021 in an XML format XML  formats.

NPI Number : 1588518021 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588518021",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "PAULA",
    "MiddleName": "WHITTEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROOKS",
    "OtherFirstName": "PAULA",
    "OtherMiddleName": "WHITTEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "408 MARTIN MILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORELAND",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30259-2503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-594-4546",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "408 MARTIN MILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORELAND",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30259-2503",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-594-4546",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2026",
    "LastUpdateDate": "02/23/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "RN203148",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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