IndividualActive
Kristen Smith
NPI 1154842409 · Family Nurse Practitioner · Indianola, MS
Provider details
- NPI number
- 1154842409
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 882509 (MS)
Practice location
122 E Baker St
Indianola, MS 38751-2451
Phone: (662) 887-2212
Fax: (662) 887-1279
Mailing address
122 E Baker St
Indianola, MS 38751-2451
Registry dates
- Enumerated
- 2017-06-27
- Last updated
- 2017-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.