Individual provider Active NPI

Julia Lynn Smith, FNP

  • Family Nurse Practitioner
  • Olive Branch, MS
National Provider Identifier
1346199932
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907983 Issued in MS
Practice address
1212 Highway 305 N
Olive Branch, MS 38654-9074
Phone
(901) 351-3829
NPI assigned
Jan 26, 2026
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907983 MS Primary

Addresses

Primary practice location

1212 Highway 305 N
Olive Branch, MS 38654-9074

Mailing address

1212 Highway 305 N
Olive Branch, MS 38654-9074
Phone (901) 351-3829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260526004104 MS Practitioner - Nurse Practitioner 6901376441 Reassigns benefits to 1 organization
I20260529000378 TN Practitioner - Nurse Practitioner 6901376441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conrad Pearson Clinic PCGroup PAC ID 7315832649, 23 clinicians

Practice addresses (Care Compare)

125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964

1325 Wolf Park Dr
Suite 102
Germantown, TN 38138-1759
Phone 90125234113495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
907983MSMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1346199932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HIGHWAY 305 N",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549074",
            "telephone_number": "901-351-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HIGHWAY 305 N",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549074",
            "telephone_number": "901-351-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.