Smith, Luretha
Smith, Luretha is an sole proprietor health care provider with primary practice located at 5 River Bend Place Suite C, Flowood MS 39232. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Smith, Luretha can be contacted via phone (601) 957-7345.Contact Information
Primary practice address
5 River Bend Place Suite C
Flowood MS 39232
Phone: (601) 957-7345
Fax: (769) 251-5429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | R748241 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | R748241 | Mississippi |
Profile Details
| NPI number | 1275708737 |
|---|---|
| LBN Legal business name | Smith, Luretha |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Apr 17th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275708737 | NPPES |
| Mississippi | MEDICAID | 00125052 | |
| Mississippi | MEDICAID | 0125052 |
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