Provider Demographics
NPI:1770998999
Name:SMITH, SHARITA CORBIN (APN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHARITA
Middle Name:CORBIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 W 18TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1289
Mailing Address - Country:US
Mailing Address - Phone:713-426-0027
Mailing Address - Fax:
Practice Address - Street 1:18842 S MEMORIAL DR STE 206
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4229
Practice Address - Country:US
Practice Address - Phone:713-426-0027
Practice Address - Fax:832-209-7186
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX893309163W00000X
TXAP130310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357187903Medicaid
TX357187904Medicaid