Individual
JACOB C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 2200, LOVELAND, CO 80538-9004
(970) 203-7250
(970) 619-6094
Mailing address
2500 ROCKY MOUNTAIN AVE STE 2200, LOVELAND, CO 80538-9004
(970) 203-7250
(970) 619-6094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1622104
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0993267-NP
CO
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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