Individual provider · Type 1 NPI

Michaela D. Smith, FNP-C

Family Nurse Practitioner · Ridgeland, MS

NPI number 1407504772 Active

Practice location

768 Avery Blvd N
Ridgeland, MS 39157-5219

Mailing address

175 Belle Oak Dr
Brandon, MS 39042-8254

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X910936 (MS)
Family Nurse Practitioner Primary 363LF0000X906388 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1407504772

Michaela D. Smith, FNP-C's National Provider Identifier is 1407504772, issued on Mar 15, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ridgeland, MS. The record was last updated on Dec 11, 2023.