Individual provider · Type 1 NPI
Melissa Ann Smith, PNP
Pediatric Nurse Practitioner · Bogart, GA
NPI number
1881097277
Active
Practice location
2080 Keeneland Dr
Bogart, GA 30622-5917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN145936 (GA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1881097277
Melissa Ann Smith, PNP's National Provider Identifier is 1881097277, issued on Sep 30, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bogart, GA. The record was last updated on Sep 30, 2014.