Mr. Mark L Smith
Nurse Practitioner - Critical Care Medicine
426 School Street
Cordova
, Alabama 35550
Mr. Mark L Smith
Nurse Practitioner - Critical Care Medicine
426 School Street
Cordova
, Alabama 35550
(205) 295-1052
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mr. Mark L Smith
- 12 Christy Ln Blackwell Meadows
- Jasper, AL
- Zip : 35504-8496
- Phone : (205) 295-1052
Second Address
- Mr. Mark L Smith
- 426 School Street
- Cordova, AL
- Zip : 35550
- Fax : (205) 483-7177
- Phone : (205) 483-7117
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1 072029 | AL |
National Provider Identifier
| NPI | 1275535114 |
|---|---|
| Provider Name | Mr. Mark L Smith |
| First Address | Jasper, AL 35504-8496 |
| Second Address | Cordova, AL 35550 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 07/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 515 20820 | BLUE CROSS OF ALABAMA (01) | AL |
| 891007440 | (05) | AL |
| Q17106 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.