Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 POTTERS LN, CLARKSVILLE, IN 47129-1017
(443) 483-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28210560A
IN
Other
Enumeration date
04/24/2024
Last updated
05/01/2024
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