MEDICARE: MS. DANA MICHELLE SMITH APRN-C

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
1	363LF0000X	Family Nurse Practitioner	APN0000034476	TN

General Provider Information

NPI Number	:	1821850066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA MICHELLE SMITH APRN-C

Provider Business Mailing Address
First Line	:	7032 E BRAINERD RD STE A
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-3882
Country	:	US
Telephone Number	:	336-299-3046
Fax Number	:	423-515-1002

Provider Business Practice Location Address
First Line	:	7032 E BRAINERD RD STE A
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-3882
Country	:	US
Telephone Number	:	336-299-3046
Fax Number	:	423-515-1002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	10/22/2024

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