Chaniqua Dominique Smith, - Nurse Practitioner in Oxford, MS

Chaniqua Dominique Smith, is a Nurse Practitioner - Psychiatric/mental Health based in Oxford, Mississippi. Chaniqua Dominique Smith is licensed to practice in Mississippi (license number 906158) and her current practice location is 956 Molly Barr Rd Apt 2, Oxford, Mississippi. She can be reached at her office (for appointments etc.) via phone at (166) 280-1295.

NPI number for Chaniqua Dominique Smith is 1164104543 and her current mailing address is 956 Molly Barr Rd Apt 2, Oxford, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164104543.

Contact Information

Chaniqua Dominique Smith,
956 Molly Barr Rd Apt 2,
Oxford, MS 38655
(166) 280-1295
Not Available



Provider's Profile

Full NameChaniqua Dominique Smith
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location956 Molly Barr Rd Apt 2, Oxford, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164104543
  • Provider Enumeration Date: 08/03/2023
  • Last Update Date: 08/03/2023

Medical Identifiers

Medical identifiers for Chaniqua Dominique Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164104543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 906158 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chaniqua Dominique Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chaniqua Dominique Smith,
956 Molly Barr Rd Apt 2,
Oxford, MS 38655-2164

Ph: (662) 801-2950
Chaniqua Dominique Smith,
956 Molly Barr Rd Apt 2,
Oxford, MS 38655

Ph: (166) 280-1295

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› Verified 6 days ago


Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1487 Belk Blvd, Oxford, MS 38655
Phone: 662-234-1090    Fax: 662-234-0432
Kathryn B Elliott, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 551 Azalea Dr, Oxford, MS 38655
Phone: 662-234-0332    Fax: 662-234-2891
Katherine Waters Shields, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655
Phone: 662-244-2288    Fax: 662-636-2285
Kirsten A Cox,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2580 Jackson Ave W Ste 44, Oxford, MS 38655
Phone: 662-234-9112    Fax: 662-234-9058
Michelle Cullen, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1109 N Lamar Blvd, Suite 1, Oxford, MS 38655
Phone: 662-238-7860    Fax: 662-238-7871
Jene' White Smith, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1397 Belk Blvd, Oxford, MS 38655
Phone: 662-236-4675    Fax: 662-281-0819
Tammy L. Pelegrin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 504 Azalea Dr, Ste A, Oxford, MS 38655
Phone: 662-236-7738    Fax: 662-236-9642

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