Individual
JESSICA S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 STAFFORD LN SUITE A, DELTA, CO 81416-0008
(970) 874-6008
(970) 546-4033
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-7681
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
0003332
CO
Other
Enumeration date
10/06/2021
Last updated
09/13/2024
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