Individual
PROF. JEFFREY JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
140 TARTAN DR, KITTANNING, PA 16201-3554
(724) 548-4674
Mailing address
140 TARTAN DR, KITTANNING, PA 16201-3554
(724) 548-4674
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN509400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101304792
—
PA
Enumeration date
02/23/2006
Last updated
07/15/2014
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