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Smith Family Practice

Focused on Your Health. Committed to Your Care.

Providers

Meet Our Providers

Josie Smith, Greg Smith, and Sarah Almand are AANP Board-Certified Family Nurse Practitioners with extensive clinical experience and long-term professional relationships with specialist physicians throughout Southeast Texas.

After completing their postgraduate training in 2004, Greg and Josie were mentored by some of the region’s finest family medicine physicians before opening Smith Family Practice in 2009. 

Josie Smith, APRN, FNP-C

A Registered Nurse since 1988, Josie completed her Bachelor of Science in Nursing (BSN) degree at the University of Texas Medical Branch (UTMB – Galveston), where she graduated with Honors.

She completed her postgraduate studies in the Family Nurse Practitioner program at Graceland University in Independence, MO, and was awarded a Master of Science in Nursing (MSN) degree in February of 2004, where she graduated with High Honors.

Prior to Becoming a Nurse Practitioner...

Josie spent 20+ years in EMS, the Emergency Department, and Adult and Pediatric Critical Care Units, including 15 years as a Flight Nurse Paramedic on EMS Helicopters and Jets.

Her flying career culminated with her appointment as Chief Flight Nurse of Angel Flight, where she managed three helicopters (Beaumont, Jasper, and Lufkin), a Learjet for national and international flights, and a staff of more than 50 employees.

Josie held board certifications in Emergency Nursing and Adult Critical Care Nursing. She was a Paramedic Instructor and Advanced Course Coordinator for the Texas Department of Health, and held additional instructor certifications in Basic and Advanced Cardiac Life Support, Basic Trauma Life Support, Trauma Nursing Core Course, Pediatric Advanced Life Support, and Neonatal Advanced Life Support. She has been instrumental in the education of countless healthcare professionals over the past several decades.

Josie at Angel Flight - 2002

Greg Smith, APRN, FNP-C

A Registered Nurse since 1989, Greg completed his undergraduate education (BSN) at the University of Texas Medical Branch (UTMB – Galveston), where he graduated with High Honors.

He completed his postgraduate studies in the Family Nurse Practitioner program at Graceland University and was awarded a Master of Science in Nursing (MSN) degree in February 2004. He graduated with High Honors and was recognized as the “Outstanding Graduate Student of 2004.”

Prior to Becoming a Nurse Practitioner...

Greg began his career in 1982 in the prehospital arena as a Volunteer Firefighter with Lumberton Fire Department and as a Volunteer Paramedic with Lumberton EMS. Prior to becoming an RN in 1989, he was employed as an EMT-Paramedic for the City of Beaumont EMS.

His hospital experience includes working in the Emergency Department and Pediatric Intensive Care Units at St. Elizabeth and in the Level I Trauma Center at UTMB-Galveston.

He logged thousands of hours of flight time during a 17-year career as a Flight Nurse-Paramedic with Med-Link, with UTMB Life Flight, and as the Clinical Director of the Angel Flight program.

Greg held board certifications in Emergency Nursing (CEN) and Flight Nursing (CFRN). He was a Paramedic Instructor and Examiner for the Texas Department of Health as well as a Critical Care Paramedic Instructor. He held additional instructor certifications in Basic and Advanced Cardiac Life Support, Basic Trauma Life Support, Pediatric Advanced Life Support, and Neonatal Advanced Life Support. He has also been instrumental in the education of countless healthcare professionals over the past several decades.

Greg at UTMB Life Flight - 1994

Sarah Almand, APRN, FNP-C

A Registered Nurse since 2003, Sarah earned her Bachelor of Science degree from Texas Tech University in Lubbock, where she graduated with Honors. She completed her postgraduate studies in the Family Nurse Practitioner program at Loma Linda University in California and earned a Master of Science in Nursing (MSN) in September of 2011.

Prior to Becoming a Nurse Practitioner...

Sarah served for several years as a Paramedic with the City of Beaumont EMS and then as a Firefighter/Paramedic with the Lufkin Fire Department, developing an early passion for serving her community.

After becoming a Registered Nurse, she worked in various Emergency Departments in Texas and California, including the Level I Trauma Center at Loma Linda University Hospital. She also worked as a Critical Care Transport Nurse.

As a Nurse Practitioner, Sarah worked in Urgent Care Centers and Emergency Departments in California. She then spent six years providing care on a Native American reservation in Arizona, an experience she describes as both professionally and personally rewarding.

Sarah returned to her hometown in the summer of 2025 and now practices alongside her Mother and Stepfather at Smith Family Practice. She is excited to be back home and looks forward to caring for the community she grew up in.

Outside of work, Sarah enjoys spending time with her two daughters and supporting them in all of their activities. She also loves being outdoors and traveling to new places.

Sarah at Lufkin Fire Department - 1999