Individual
JESSICA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2621 E PINETREE BLVD, THOMASVILLE, GA 31792-4840
(229) 584-4100
(229) 584-5955
Mailing address
2621 E PINETREE BLVD, THOMASVILLE, GA 31792-4840
(229) 584-4100
(229) 584-5955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN231631
GA
Other
Enumeration date
07/18/2018
Last updated
09/11/2020
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