Individual
JACQUELINE S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 PENINSULA DR STE 202, ERIE, PA 16505-4169
(814) 833-5381
(814) 833-5387
Mailing address
1101 PENINSULA DR STE 202, ERIE, PA 16505-4169
(814) 833-5381
(814) 833-5387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053610
PA
Other
Enumeration date
11/05/2008
Last updated
01/16/2020
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