Individual
COURTNEY JEANETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3901 BEAUBIEN ST STE 3515, DETROIT, MI 48201-2119
(313) 745-9049
Mailing address
3901 BEAUBIEN ST STE 3515, DETROIT, MI 48201-2119
(313) 745-9049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704336167
MI
363LF0000X
Family Nurse Practitioner
4704336167
MI
Other
Enumeration date
07/25/2023
Last updated
01/16/2025
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