Individual
JEAN M RICHARDSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2883
(757) 953-0851
Mailing address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2883
(757) 953-0851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840622
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010082935
—
VA
Enumeration date
07/13/2006
Last updated
03/07/2023
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