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NPI Code Detail

MEDICARE: YOLANDA RENEE SMITH FNP-BC

MEDICARE: YOLANDA RENEE SMITH FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner222097-30WI
2363LF0000XFamily Nurse Practitioner10275-33WI

General Provider Information

NPI Number : 1043862899
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA RENEE SMITH FNP-BC
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 6707 W HAMPTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-4833
Country : US
Telephone Number : 414-508-0839
Fax Number : 888-355-6975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 02/10/2026

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Directions to “ YOLANDA RENEE SMITH FNP-BC” Practice Location

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