Individual provider · Type 1 NPI
Ivy London Smothers, FNP-C
Family Nurse Practitioner · Lorman, MS
NPI number
1437380169
Active
Practice location
1000 Asu Dr
Lorman, MS 39096-7510
Mailing address
345 Marian Ln
Vicksburg, MS 39183-2867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F07210326 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1437380169
Ivy London Smothers, FNP-C's National Provider Identifier is 1437380169, issued on Jul 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lorman, MS. The record was last updated on Jul 6, 2021.