Individual
JAE DELL M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1918 N FRANCES BLVD, TUCSON, AZ 85712-3563
(520) 664-6523
Mailing address
1918 N FRANCES BLVD, TUCSON, AZ 85712-3563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5178
AZ
Other
Enumeration date
09/02/2013
Last updated
09/19/2013
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