Organization · Type 2 NPI

Smithville Emergency Services, LLC

Nurse Practitioner · Smithville, TN

NPI number 1487612644 Active

Practice location

520 W Main St
Smithville, TN 37166-1138

Fax (904) 805-1302

Mailing address

PO Box 532743
Atlanta, GA 30353-2743

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

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…

17 other providers at this address

About NPI 1487612644

Smithville Emergency Services, LLC's National Provider Identifier is 1487612644, issued on May 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Smithville, TN. The record was last updated on Sep 11, 2025.