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Individual

MRS. JOYCE L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P

Contact information

Practice address
15921 BOUNDARY DR, ASHLAND, MS 38603-7740
(662) 223-4011
(662) 223-4018
Mailing address
263 COTTON GIN RD, RIPLEY, MS 38663-9044
(662) 837-4639

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R545953
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0118226
MS
Enumeration date
06/06/2006
Last updated
07/08/2007
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