Individual provider · Type 1 NPI
Angela Smith
Home Health Registered Nurse · Lake Cormorant, MS
NPI number
1538017702
Active
Practice location
3132 Camilla Cir E
Lake Cormorant, MS 38641-1007
Fax (901) 364-8610
Mailing address
PO Box 101
Walls, MS 38680-0101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 930761 (MS) |
Home Health Registered Nurse: Definition to come...
About NPI 1538017702
Angela Smith's National Provider Identifier is 1538017702, issued on Mar 21, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Lake Cormorant, MS. The record was last updated on Mar 21, 2026.