Individual
MRS. JESSICA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7817
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 371-6114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
459282
OH
363L00000X
Nurse Practitioner
Primary
0033586
OH
Other
Enumeration date
11/19/2019
Last updated
10/21/2023
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