Provider Demographics
NPI:1306857479
Name:SMITH, JOANNE FRANCES (CRNA)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:FRANCES
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:FRANCES
Other - Last Name:MCKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:908 PILLOW DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2640
Mailing Address - Country:US
Mailing Address - Phone:757-803-4741
Mailing Address - Fax:757-481-3489
Practice Address - Street 1:908 PILLOW DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2640
Practice Address - Country:US
Practice Address - Phone:757-803-4741
Practice Address - Fax:757-481-3489
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024156573367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered