Individual
MS. JAN WILSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, JAH VA MEDICAL CENTER, MH-BSS, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, JAMES A HALEY VA MEDICAL CENTER, MH-BSS,, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3219062
FL
Other
Enumeration date
07/29/2008
Last updated
07/29/2014
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