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Individual

MRS. JENNIFER DARLENE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1814 ST JOHN RD, BRAXTON, MS 39044-9470
(601) 906-3857
(601) 951-8236
Mailing address
1814 ST JOHN RD, BRAXTON, MS 39044-9470
(601) 906-3857
(601) 951-8236

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
875311
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906848
MS

Other

Enumeration date
05/13/2024
Last updated
08/02/2024
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