Individual
MRS. JENNIFER KATE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46 LITTLE NAHANT RD, NAHANT, MA 01908-1029
(401) 316-0708
Mailing address
46 LITTLE NAHANT RD, NAHANT, MA 01908-1029
(401) 316-0708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4607
MA
Other
Enumeration date
02/04/2013
Last updated
04/07/2021
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