Individual
JORDAN LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1388
(727) 820-7778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9386495
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005413
FL
Other
Enumeration date
10/03/2019
Last updated
02/05/2021
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