Individual
JESSE ENOCH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
182 16TH ST, BURLINGTON, CO 80807-1649
(719) 346-9481
(719) 346-9485
Mailing address
182 16TH ST, BURLINGTON, CO 80807-1649
(719) 346-9481
(719) 346-9485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN-0994197-NP
CO
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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