Individual
MS. LYNN R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1500 E.WOODROW WILSON, G.V. (SONNY) MONTGOMERY, VAMC; NURSING SERVICE (118), JACKSON, MS 39213
(601) 362-4471
(601) 368-3917
Mailing address
1039 MANSHIP ST, JACKSON, MS 39202-2133
(601) 354-4073
(601) 368-3917
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R519456
MS
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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