Smoot, Sheena Renell Smith

Smoot, Sheena Renell Smith is an individual health care provider with primary practice located at 2510 Lakeland Dr , Flowood MS 39232-9513. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smoot, Sheena Renell Smith can be contacted via phone (601) 355-1234.

Contact Information

Primary practice address
2510 Lakeland Dr Flowood MS 39232-9513
Phone: (601) 355-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 902180 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902180 Mississippi

Profile Details

NPI number 1982122552
LBN Legal business name Smoot, Sheena Renell Smith
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Mar 8th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982122552 NPPES
Mississippi MEDICAID 02872582

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