Individual
JANE ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504
(859) 323-2181
(859) 257-7706
Mailing address
2333 ALUMNI PARK PLAZA, SUITE 200, LEXINGTON, KY 40517-4012
(859) 218-5677
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3004394
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012820
—
KY
Enumeration date
07/19/2006
Last updated
09/07/2018
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