Individual
LISA J SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1801 BARRS ST, SUITE 500, JACKSONVILLE, FL 32204-4732
(904) 388-1820
(904) 388-1827
Mailing address
562 PARK ST, SUITE 310, JACKSONVILLE, FL 32204-2918
(904) 633-2021
(904) 633-9793
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9201686
FL
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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