Nick Smith grew up in Pennsylvania, but finished high school in Phoenix, Arizona. During and after high school, he worked as a bear builder at Build-A-Bear Workshop while taking classes at the local community college for a year. In April of 2011, Nick left home at the age of nineteen to join the Army as a healthcare specialist, which is the Army's current official term for medic. After completing basic training in Fort Sill, Oklahoma, he received six months of medic training at Fort Sam Houston in San Antonio, Texas. While there he received a civilian certification as an EMT-B and passed the national registry exam after only four weeks. He then received combat trauma training for the next four months before spending the final month of training working on clinical skills to work in an aid station or clinic. Once his medic education came to an end, he was sent to his first duty station at Fort Bliss in El Paso, Texas where he became a line medic in an infantry unit. Nick also spent time working at the battalion aid station with his Physician's Assistant, where he gained more clinical skills. In December of 2012 he was deployed to Afghanistan, where he was the sole medical professional on ground for over 150 combat patrols and supply convoys. During his days off, Nick worked sick call in the aid station and treated the day-to-day ailments of soldiers. Upon returning home, he was chosen over his peers (and even some who outranked him) to become a head line medic. In this position, he was responsible for the continued training of his junior medics, as well as the combat readiness and combat first aid training of his infantrymen.
Nick left the military in April 2015. After this he returned to Phoenix and worked as a medical assistant for the summer before beginning his undergraduate education at Columbia University in the City of New York. While in New York he studied biological anthropology and became extremely familiar with human skeletal remains. He also conducted field research in Kenya and Illinois and presented projects at international conferences in Vancouver, Canada and Austin, Texas. In May 2019, he graduated Magna Cum Laude and came to Yale School of Nursing to begin his education as nurse practitioner student. He is an Adult Gerontology Acute Care Nurse Practitioner student, but also simultaneously working on his Registered Nurse First Assist certification so that he may work in the operating room, while also providing pre- and post-operative care to patients.