Individual
SAMANTHA N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
PO BOX 41, RIDGELAND, MS 39158-0041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905109
MS
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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