KISHA MESHUN SMITH

STOCKBRIDGE, GA
NPI1528526548
Professional NameKISHA MESHUN SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  NCO-000001)
Additional Taxonomies163WI0500X Registered Nurse, Infusion Therapy
(Licence: GA  RN194819)
163WX0200X Registered Nurse, Oncology
(Licence: GA  RN194819)
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  NCO-000001)
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  NCO-000001)
Enumeration Date2019-03-08
Last Update Date2019-03-08
Business Address
KISHA MESHUN SMITH AGNP-C
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-5085
Phone number: 678-604-1045
Mailing Address
KISHA MESHUN SMITH AGNP-C
508 BETHELVIEW DR
HAMPTON, GA 30228-4825
Phone number: 850-624-5436