Individual
MRS. JESSICA LYNN SMEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 JOHN ST, SUITE M302, KALAMAZOO, MI 49007-5341
(269) 341-7070
(269) 341-7244
Mailing address
601 JOHN ST, SUITE M-302, KALAMAZOO, MI 49007-5341
(269) 341-7070
(269) 341-7244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C97618
BCBSM
MI
05
—
1619125697
—
MI
Enumeration date
09/03/2008
Last updated
11/27/2023
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