Individual provider · Type 1 NPI

Lisa Dian Smith, FNP-C

Nurse Practitioner · Tifton, GA

NPI number 1003241522 Active

Practice location

1806 Lee Ave
Tifton, GA 31794-3639

Fax (229) 388-0556

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN176448 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003241522

Lisa Dian Smith, FNP-C's National Provider Identifier is 1003241522, issued on Sep 4, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tifton, GA. The record was last updated on Sep 4, 2013.