Individual
JESSICA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4459 GREAT OAKS DR, GRAND BLANC, MI 48439-8665
(810) 287-8506
Mailing address
4459 GREAT OAKS DR, GRAND BLANC, MI 48439-8665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704199299
MI
Other
Enumeration date
03/24/2006
Last updated
01/27/2023
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