Smith, Tina M

Smith, Tina M is an sole proprietor health care provider with primary practice located at 2014 Tower Dr Ste A , Monroe LA 71201-5194. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith, Tina M can be contacted via phone (318) 325-1731.

Contact Information

Primary practice address
2014 Tower Dr Ste A Monroe LA 71201-5194
Fax: (318) 325-5636
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP03251 Louisiana

Profile Details

NPI number 1790748937
LBN Legal business name Smith, Tina M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Sep 5th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790748937 NPPES
Louisiana MEDICAID 1557803

Popular Providers