Individual
JESSICA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3N536 LINDA LN, ADDISON, IL 60101-3037
(630) 703-9133
Mailing address
3N536 LINDA LN, ADDISON, IL 60101-3037
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.041.506436
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
0024191703
VA
Other
Enumeration date
07/31/2023
Last updated
12/09/2024
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