Individual
JENNIFER SANDERSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7313 VENTNOR AVE, VENTNOR CITY, NJ 08406-1958
(609) 441-2199
Mailing address
1301 HODGES DR, TALLAHASSEE, FL 32308-4614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11320000
NJ
207Q00000X
Family Medicine Physician
85830
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/17/2024
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