Individual
DR. JORDYN NIKLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
17645 JUNIPER PATH, LAKEVILLE, MN 55044-7490
(952) 898-1022
Mailing address
17645 JUNIPER PATH, LAKEVILLE, MN 55044-7490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9529
MN
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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