Individual
JULIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
109 FORD ST, OGDENSBURG, NY 13669-1419
(315) 394-0101
Mailing address
109 FORD ST, OGDENSBURG, NY 13669-1419
(315) 394-0101
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
456009-01
NY
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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