STEPHANIE MARIE SMITH FNP-BC NPI 1104435353

NPI Information

  • NPI: 1104435353
  • Provider Name: STEPHANIE MARIE SMITH, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 CHERRY AVE
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 528-5811

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NPI Details

Stephanie Marie Smith, FNP-BC is a family nurse practitioner in Cookeville, TN. Stephanie Marie Smith, FNP-BC NPI is 1104435353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 CHERRY AVE
COOKEVILLE, TN
ZIP 38501-521
Phone: (931) 528-5811

The NPI 1104435353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2020 and was last updated on 11/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPN27684TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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