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Individual

MRS. HEATHER ROBERTSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
204 SERIO BLVD., FERRIDAY, LA 71334
(318) 757-0210
(318) 757-9916
Mailing address
430 RED OAK TREE DR., JONESVILLE, LA 71343-5573

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
902020
MS
363LF0000X
Family Nurse Practitioner
Primary
AP09354
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
606760
LA
Enumeration date
07/14/2017
Last updated
10/05/2021
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