Individual
DR. JENNIFER A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19080
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1433
MIDLANDS CHOICE
NE
01
—
31405
BCBS
NE
05
—
47068937211
—
NE
01
—
93921
BCBS
IA
Enumeration date
09/13/2006
Last updated
08/23/2012
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