Individual
MRS. JULENE DOROTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
410 4TH ST SE, CAIRO, GA 39828-2775
(229) 403-9964
Mailing address
410 4TH ST SE, CAIRO, GA 39828-2775
(229) 403-9964
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN121421
GA
Other
Enumeration date
01/25/2016
Last updated
06/22/2022
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