Individual
JENNINGS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC,RN, MSN
Contact information
Practice address
3909 WOODLEY RD STE 600, TOLEDO, OH 43606-1179
(419) 291-4590
(419) 291-4593
Mailing address
1 SEAGATE, STE 800, TOLEDO, OH 43604-1558
(567) 585-1918
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.373538
OH
363L00000X
Nurse Practitioner
Primary
209022731
IL
363LG0600X
Gerontology Nurse Practitioner
022331
OH
Other
Enumeration date
11/20/2017
Last updated
08/25/2022
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