| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ROBERT NATHAN SMITH | 1104430552 | 2023-01-22 |
Robert Nathan Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104430552. Registration indicates Robert Nathan Smith is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Robert Nathan Smith NP |
| Practice Office Address | 10556 HIGHWAY 49 GULFPORT, MS US |
| Practice Office Telephone | 6017953372 |
| Mailing Address | 4304 S CLAIBORNE AVE NEW ORLEANS, LA 701255104 US |
| Business Telephone | 5047669892 |
| Business Fax | 5047669916 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | SMIT-IY8V6O
MS |