Individual
JENNIPHER LYN SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1431 DALZELL ST, SHREVEPORT, LA 71103-3709
(318) 626-0000
(318) 629-4779
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP09355
LA
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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