Individual provider · Type 1 NPI

Tannis Smith, APRN

Nurse Practitioner · Melbourne, FL

NPI number 1669802831 Active

Practice location

1223 Gateway Dr Ste 2C
Melbourne, FL 32901

Fax (321) 434-7132

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN9386659 (FL)

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…

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About NPI 1669802831

Tannis Smith, APRN's National Provider Identifier is 1669802831, issued on Nov 25, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Melbourne, FL. The record was last updated on Mar 18, 2020.