Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-6000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011813
MI
363AS0400X
Surgical Physician Assistant
085.005597
IL
Other
Enumeration date
09/30/2015
Last updated
10/10/2024
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