Individual
JEFFREY ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
762 GARNET WAY, FERNLEY, NV 89408-8446
(619) 279-3457
Mailing address
10774 BARREL HORSE LN, RENO, NV 89521-4564
(619) 279-3457
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9453922
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11006861
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
834589
NV
Other
Enumeration date
03/17/2020
Last updated
07/12/2025
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