Individual
JENNIFER D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1005 W CONGRESS ST, BROOKHAVEN, MS 39601-2603
(601) 833-9388
(601) 833-9495
Mailing address
1005 W CONGRESS ST, BROOKHAVEN, MS 39601-2603
(601) 833-9388
(601) 833-9495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904854
MS
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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