Individual
JESSICA N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7740
Mailing address
PO BOX 1281, 4TH AND WALNUT ST, LEBANON, PA 17042-6937
(717) 269-9405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057813
PA
363A00000X
Physician Assistant
Primary
OA003621
PA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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