NPI 1003565680

Tara Nichole Smith, RN

Practitioner Registered Nurse Adolphus, KY

Practice location

Address: 308 Blunt Ford Rd, Adolphus, KY 42120-8719
Phone: (270) 622-9418

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 1139739 (KY)

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Registry record

NPI: 1003565680
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2022
Record last updated: 22 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.