IndividualActive
Ethan Smitherman, PMHNP
NPI 1316643398 · Psychiatric/Mental Health Nurse Practitioner · Hernando, MS
Provider details
- NPI number
- 1316643398
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- License
- 905753 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
324 W Valley St Ste 108
Hernando, MS 38632-1749
Phone: (901) 491-0130
Approximate (ZIP-level) locationGet directions
Mailing address
324 W Valley St Ste 108
Hernando, MS 38632-1749
Registry dates
- Enumerated
- 2023-02-01
- Last updated
- 2023-02-01
- Certified
- 2023-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.