KODY JACOB SMITHERMAN

MARYVILLE, TN
NPI1811643844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  31220)
Enumeration Date2022-02-28
Last Update Date2023-06-16
Business Address
Mr. KODY JACOB SMITHERMAN FNP
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
Phone number: 865-980-5100
Mailing Address
Mr. KODY JACOB SMITHERMAN FNP
103 W BROADWAY AVE
MARYVILLE, TN 37801-4703
Phone number: 865-273-1752
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