Individual
JAKE MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 HENNESSY BLVD STE 1000, BATON ROUGE, LA 70808-4370
(225) 767-3900
(225) 766-2226
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-4050
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
330511
LA
207RC0000X
Cardiovascular Disease Physician
Primary
330511
LA
208M00000X
Hospitalist Physician
330511
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
04/21/2026
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