Provider Demographics
NPI:1245982917
Name:SMITH, LAURA GOODNER (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:GOODNER
Last Name:SMITH
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Gender:F
Credentials:AGACNP-BC
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Mailing Address - Street 1:8 CADILLAC DRIVE
Mailing Address - Street 2:SUITE, 300 PMB 4
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5337
Mailing Address - Country:US
Mailing Address - Phone:615-548-3062
Mailing Address - Fax:615-628-1428
Practice Address - Street 1:8 CADILLAC DRIVE
Practice Address - Street 2:SUITE, 300 PMB 4
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5337
Practice Address - Country:US
Practice Address - Phone:931-548-3062
Practice Address - Fax:615-628-1428
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2025-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN31073363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care