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Individual

JESSLYN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3144 ROSS CLARK CIR, DOTHAN, AL 36303-3038
(334) 678-9123
Mailing address
900 GENE TERRY RD, DOTHAN, AL 36301-8584

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-138184
AL

Other

Enumeration date
07/18/2019
Last updated
08/08/2023
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