Individual
JENNA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
255 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
Mailing address
107 CYPRESS POINT LN, BENTON, LA 71006-8670
(318) 426-0465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1128686
TX
363L00000X
Nurse Practitioner
Primary
231111
LA
Other
Enumeration date
07/17/2023
Last updated
07/20/2023
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