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Individual

JOVAN MARCEL SMALLWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(808) 391-1294
Mailing address
229 SHUTOUT DR, CLARKSVILLE, TN 37042-1184
(808) 391-1294

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266935
TN

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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