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Individual

KAYLA MURPHY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2280
(601) 200-0229
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-2280
(601) 200-0229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902718
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07988269
MS
01
687049
MEDICARE
MS
Enumeration date
06/28/2018
Last updated
10/03/2025
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