Individual provider · Type 1 NPI

Chantalette Tysheria Smith, MSN, APRN, FNP-C

Psychiatric/Mental Health Nurse Practitioner · Kennesaw, GA

NPI number 1962049494 Active

Practice location

3440 Blue Springs Rd NW Ste 503
Kennesaw, GA 30144-1038

Call (404) 857-9575 Map

Mailing address

PO Box 447
Ellabell, GA 31308-0447

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN248645 (GA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN248645 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1962049494

Chantalette Tysheria Smith, MSN, APRN, FNP-C's National Provider Identifier is 1962049494, issued on Dec 3, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 16, 2026.