Provider Demographics
NPI:1124151170
Name:SMITH, BARBARA GAYLE (FNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:GAYLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MCFARLAND ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3992
Mailing Address - Country:US
Mailing Address - Phone:423-587-5551
Mailing Address - Fax:423-586-4199
Practice Address - Street 1:500 MCFARLAND ST
Practice Address - Street 2:SUITE D
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3992
Practice Address - Country:US
Practice Address - Phone:423-587-5551
Practice Address - Fax:423-586-4199
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16085363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10350I0284Medicare PIN