Individual
JENNIFER LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2636 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 636-1919
(252) 636-2656
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 636-1919
(252) 636-2656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-02098
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2016
Last updated
08/26/2019
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