Ivy London Smothers, FNP-C
NPI #1437380169 in Lorman, Mississippi
Provider Information
- NPI Number
- 1437380169
- Entity Type
- Individual
- Name
- Ivy London Smothers, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Jul 6, 2021
Practice Location
- Address
- 1000 ASU DR
- City
- Lorman
- State
- Mississippi
- ZIP Code
- 39096-7510
- Phone
- (601) 877-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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