Search › Mississippi › 374U00000X
Tyesha Smith, ALL
NPI 1326670977 · on the registry since 2020 · sole proprietor
Practice
- Address
- 200 Rebel Woods Dr
Jackson, MS 39212 - Phone
- (601) 317-4606
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 251E00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi