Individual
JACLYN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
(317) 718-6740
Mailing address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
(317) 718-6740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
013063523A
IN
208M00000X
Hospitalist Physician
Primary
01063523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550465
ANTHEM
IN
01
—
000000911432
ANTHEM PROVIDER NUMBER - ARNETT CLINIC, LLC
IN
05
—
200868320
—
IN
Enumeration date
04/20/2007
Last updated
03/31/2021
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