Individual
JOHN WESLEY SMIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2702 JACKSBORO PIKE, JACKSBORO, TN 37757-4850
(423) 201-9937
(423) 567-4722
Mailing address
2702 JACKSBORO PIKE, JACKSBORO, TN 37757-4850
(423) 201-9937
(423) 567-4722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20145
TN
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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