Lisa Smith , LPN
Licensed Practical Nurse • Jackson, TN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lisa Smith, LPN was a registered Licensed Practical Nurse practicing in Jackson, TN. Throughout an active medical career spanning 12 years, Lisa Smith provided care at the practice location at 88 FOXWORTH DR until profile deactivation on 2021-11-03.
Practice Location & Contact Primary Location
88 Foxworth Dr
Jackson, TN 383056703
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Jackson, TN
Practicing in Jackson, TN (1262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 03, 2021
NPI status registered as active in NPPES database
Registered at 88 FOXWORTH DR, JACKSON, TN 383056703 (Tel: 6624367835)
Registered at 88 FOXWORTH DR, JACKSON, TN 383056703 (Tel: 6624367835)
Recorded as LISA SMITH, LPN
Licensed Practical Nurse (License #P315112 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
88 Foxworth Dr
Jackson, TN 383056703
Phone: 6624367835
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