Katherine Chaffin Smith in Southaven - Nurse Practitioner

Katherine Chaffin Smith - NPI 1215021001

Katherine Chaffin Smith is a Nurse Practitioner in Southaven, Mississippi. Katherine Chaffin Smith practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Katherine Chaffin Smith is 1215021001. The last update date is 2015-05-13.

Katherine Chaffin Smith's current location address is 122 Airways Pl, Southaven, Mississippi. You can contact this provider via phone number 6623499990 and fax number 6623492620. The mailing address for Katherine Chaffin Smith is 122 Airways Pl, Southaven, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Katherine Chaffin Smith
Address 122 Airways Pl, Southaven, Mississippi
Phone Number 6623499990
Fax Number 6623492620
Sole Proprietor N
Credentials CFNP

NPI Number Detail

NPI Number 1215021001
Provider Enumeration Date 2006-10-03
Last Updated Date 2015-05-13

Provider Mailing Address Detail

Address 122 Airways Pl
City Southaven
State Mississippi (MS)
Post Code 386715872
Phone Number 6623499990
Fax Number 6623492620

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R858087
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6230207 MS --

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FAQs about Katherine Chaffin Smith

What is the unique identifier code issued to Katherine Chaffin Smith by the Centers for Medicare & Medicaid Services (CMS)?

The Katherine Chaffin Smith has been assigned the NPI (National Provider Identifier) 1215021001. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Katherine Chaffin Smith's physical address?

The Katherine Chaffin Smith is physically located at 122 Airways Pl, in the city of Southaven, MS, with the postal code 386715872.

What is Katherine Chaffin Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Katherine Chaffin Smith is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date did the Katherine Chaffin Smith receive the assignment of its 1215021001 from the Centers for Medicare & Medicaid Services?

The Katherine Chaffin Smith was issued its 1215021001 by the Centers for Medicare & Medicaid Services on 2006-10-03.

As of what date were the details related to Katherine Chaffin Smith most recently updated or revised?

The information pertaining to Katherine Chaffin Smith, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-13.

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