Individual
JACQUELINE DEANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,CCRN,LNC
Contact information
Practice address
3187 E HUDSON ST, COLUMBUS, OH 43219-1632
(614) 599-3203
Mailing address
3187 E HUDSON ST, COLUMBUS, OH 43219-1632
(614) 599-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN173262
OH
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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