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Individual

MRS. JENNIFER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1230 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6367
(610) 402-8950
(610) 402-1059
Mailing address
20 DOE RIDGE DR, FLEETWOOD, PA 19522-9624
(484) 650-0366

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022752
PA

Other

Enumeration date
12/21/2020
Last updated
12/21/2020
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