Individual
MRS. JACLYN BROOKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
374 WINDY HOLLOW LN, SODDY DAISY, TN 37379-2858
(423) 243-8970
(877) 211-6848
Mailing address
374 WINDY HOLLOW LN, SODDY DAISY, TN 37379-2858
(423) 243-8970
(877) 211-6848
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0000188383
TN
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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