Mr. Jeremiah S. Smith NP
Acute Care Nurse Practitioner in Chattanooga, TN(View on Map)
Full Name
Mr. Jeremiah Shane Smith NP
NPI Number
1790039188
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/07/2012
Specialties
(Taxonomies)Licenses
State
Tennessee
Tennessee
License Number
16902
APN0000016902
Contact
Information
Purpose
Mailing
Location
Address
1949 GUNBARREL ROAD
605 GLENWOOD DRIVE, SUITE 105
City
Chattanooga
Chattanooga
State
TN
TN
Postal Code
37421
37404
Country
US
US
Telephone Number
(423) 495-4349
(423) 495-5864
Identifiers
Identifier
16902
Identifier State
TN
Identifier Issuer
APN LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022