Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 BILLY RIDGE RD, JAMESTOWN, TN 38556-5947
(931) 704-4796
Mailing address
340 BILLY RIDGE RD, JAMESTOWN, TN 38556-5947
(931) 704-4796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69916
TN
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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