Individual
JENNA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3700 WASHINGTON AVE # 2200, EVANSVILLE, IN 47714-0541
(812) 485-7111
Mailing address
84 W 800 S APT 4108, FORT BRANCH, IN 47648-8658
(618) 302-7752
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209022032
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
71012988A
IN
Other
Enumeration date
01/19/2021
Last updated
12/14/2022
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