Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ethan Tyler Smitherman, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1316643398

Mr. Ethan Tyler Smitherman, PMHNP is a Nurse Practitioner in Hernando, Mississippi. Qualified in 2022, 4 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

324 W Valley St Ste 108
Hernando, MS 38632-1749
Phone: (901) 491-0130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 905753 (MS)

Record details

NPI number1316643398
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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