Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA SMITH, NP
Active Sole ProprietorIDA SMITH, NP is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, Georgia. NPI 1336525138 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1336525138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2015 (11.051900441211 yrs)
- Last Updated
- Aug 4, 2015
- License
-
RN128300 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1260 HIGHWAY 54 W STE 101FAYETTEVILLE, GA, 302144525Browse GA providers · Browse ZIP 30214
- Phone
- 7707194620
- Fax
- 7707194622
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. DEBBIE S. DAVIS | MSN | 1831177104 |
| JORETTA A BUCKNER | NP | 1851316665 |
| TANGELLA E RUSSELL | CNP | 1275637639 |
| JENNIFER GOODSON | NP | 1104912054 |
| PATRICIA ANN EDWARDS | FNP-C | 1992888945 |
| MS. CLAVEL A GITTENS | FNP-BC | 1396813986 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.