Individual
JENNIFER ROBIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1793 13TH ST SE, SALEM, OR 97302-2541
(866) 599-3376
Mailing address
19682 SW MURPHY ST, ALOHA, OR 97078-4331
(503) 975-4931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201706184NP-PP
OR
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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