Individual
JARED EARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4720 S I 10 SERVICE RD W STE 206, METAIRIE, LA 70001-1240
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220526
LA
Other
Enumeration date
07/05/2021
Last updated
06/13/2022
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