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Stephanie Lynne Smith, DO
Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee
NPI 1083294177

Stephanie Lynne Smith is a Student in an Organized Health Care Education/Training Program based in Johnson City, TN. Stephanie Lynne Smith practices in Johnson City, TN and has the professional credentials of DO. The NPI Number for Stephanie Lynne Smith is 1083294177 and holds a License No. (Tennessee).

The current practice location address for Stephanie Lynne Smith is 917 W Walnut St, Johnson City, TN and can be reached out via phone at 423-439-6464 and via fax at 423-439-7118.

Location: 917 W Walnut St, Johnson City, TN, 37604-6527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083294177
Provider Name
Stephanie Lynne Smith
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
917 W Walnut St, Johnson City, TN, 37604-6527
Phone Number
423-439-6464
Fax Number
423-439-7118
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
917 W Walnut St
City
Johnson City
State
Tennessee
Zip
37604-6527
Phone Number
423-439-6464
Fax Number
423-439-7118
person
Provider Business Mailing Address Details
Address
917 W Walnut St
City
Johnson City
State
Tennessee
Zip
37604-6527
Phone Number
423-439-6464
Fax Number
423-439-7118
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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