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Michael David Smith

Nurse Practitioner

3019 Peoples St # Condo300
Johnson City , Tennessee 37604-1977

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Michael David Smith

Nurse Practitioner

3019 Peoples St # Condo300
Johnson City , Tennessee 37604-1977

(423) 390-3340

Write a Review Save Call

Michael David Smith

Nurse Practitioner

3019 Peoples St # Condo300
Johnson City , Tennessee 37604-1977

(423) 390-3340 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner

Languages spoken

  • English

Location

3019 Peoples St # Condo300 Johnson City , Tennessee 37604-1977

First Address

  • Michael David Smith
  • Po Box 9
  • Kingsport, TN
  • Zip : 37662-0009
  • Fax : (423) 390-3340
  • Phone : (423) 857-2093

Second Address

  • Michael David Smith
  • 3019 Peoples St # Condo300
  • Johnson City, TN
  • Zip : 37604-1977
  • Fax : (423) 461-2199
  • Phone : (423) 461-2100

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FAQs


Where did Michael David Smith attend graduate school?

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Where did Michael David Smith do his residency?

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Where did Michael David Smith do his fellowship?

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Is Michael David Smith board certified?

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What type of doctor is Michael David Smith

Nurse Practitioner

In what state does Michael David Smith practice in?

Tennessee

Where is Michael David Smith ’s practice located?

3019 Peoples St # Condo300 , Johnson City, Tennessee, 37604-1977

What is Michael David Smith ’s gender?

Male

Is Michael David Smith a sole practitioner?

No

Is Michael David Smith accepting new patients?

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What languages does Michael David Smith speak?

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Does Michael David Smith accept insurance?

Yes, Michael David Smith accepts insurance

Does Michael David Smith offers telemedicine?

Michael David Smith has not indicated if he offers telemedicine

What is Michael David Smith ’s professional license number?

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What is Michael David Smith ’s NPI number?

1003819707

Does Michael David Smith have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363L00000X Nurse Practitioner APN7641 TN

National Provider Identifier

NPI 1003819707
Provider Name Michael David Smith
First Address Kingsport, TN 37662-0009
Second Address Johnson City, TN 37604-1977
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/05/2005
Last Update Date 30/03/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
3347731 (05) TN
APN7641 ADVANCED PRACTICE NURSE (01) TN
MS0507890 DEA LICENSE (01) TN
RN115963 REGISTER NURSE LICENSE (01) TN
S66273 (02) TN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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