Individual
GEORGIA JAQUETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, OCN
Contact information
Practice address
1720 HARDING AVE STE 1, EAU CLAIRE, WI 54701-4861
(715) 461-0463
Mailing address
1720 HARDING AVE STE 1, EAU CLAIRE, WI 54701-4861
(715) 461-0463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166730-030
WI
163WX0200X
Oncology Registered Nurse
Primary
166730-030
WI
Other
Enumeration date
09/22/2010
Last updated
12/28/2022
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