Individual
VIRGINIA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7101 NEWPORT AVE, OMAHA, NE 68152-2164
(402) 572-2916
(402) 572-3258
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111947
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111947
NE
Other
Enumeration date
12/29/2015
Last updated
12/19/2019
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