Individual
JAMIE WOOD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Mailing address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 601-6197
(276) 601-6156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184063315
—
VA
Enumeration date
06/20/2013
Last updated
06/10/2020
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