Individual provider · Type 1 NPI
Willis Smith, APRN
Psychiatric/Mental Health Nurse Practitioner · Santa Rosa, CA
NPI number
1861882847
Active
Practice location
751 Lombardi Ct
Santa Rosa, CA 95407-6798
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28278 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95017534 (CA) |
| Professional Counselor | 101YP2500X | P1701203 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861882847
Willis Smith, APRN's National Provider Identifier is 1861882847, issued on Jan 29, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 2, 2024.