Individual
JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1216 ELAINE CT, FLOSSMOOR, IL 60422-1468
(773) 642-5816
Mailing address
1216 ELAINE CT, FLOSSMOOR, IL 60422-1468
(773) 642-5816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041484739
IL
363L00000X
Nurse Practitioner
Primary
209031923
IL
Other
Enumeration date
01/04/2025
Last updated
03/18/2025
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