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NPI Code Detail

MEDICARE: MRS. JOYCE L SMITH F.N.P

MEDICARE: MRS. JOYCE L SMITH F.N.P
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
1363LF0000XFamily Nurse PractitionerR545953MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356380067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOYCE L SMITH F.N.P
Provider Business Mailing Address
First Line : 263 COTTON GIN RD
Second Line :
City : RIPLEY
State : MS
Zip : 38663-9044
Country : US
Telephone Number : 662-837-4639
Fax Number :
Provider Business Practice Location Address
First Line : 15921 BOUNDARY DR
Second Line :
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-223-4011
Fax Number : 662-223-4018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/08/2007

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