Individual provider · Type 1 NPI
Clyde R. Smith, BS, MSN, RN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Folsom, CA
NPI number
1790342830
Active
Practice location
2600 E Bidwell St Ste 220
Folsom, CA 95630-6452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95183506 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95033072 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790342830
Clyde R. Smith, BS, MSN, RN, PMHNP's National Provider Identifier is 1790342830, issued on May 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Folsom, CA. The record was last updated on Apr 8, 2025.