Individual provider · Type 1 NPI
Ethan Tyler Smitherman, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Hernando, MS
NPI number
1316643398
Active
Practice location
324 W Valley St Ste 108
Hernando, MS 38632-1749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 905753 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1316643398
Ethan Tyler Smitherman, PMHNP's National Provider Identifier is 1316643398, issued on Feb 1, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hernando, MS. The record was last updated on Feb 1, 2023.