MR. Ethan Tyler Smitherman, PMHNP is a psychiatric/mental health nurse practitioner in Hernando, MS with 2 years of experience. MR. Ethan Tyler Smitherman, PMHNP NPI is 1316643398. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
324 W VALLEY ST STE 108
HERNANDO, MS
ZIP 38632-749
Phone: (901) 491-0130
The NPI 1316643398 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 2/1/2023 and was last updated on 2/1/2023.