Individual
MS. JODI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
719 N 14TH ST, CENTERVILLE, IA 52544-1035
(641) 670-0248
Mailing address
719 N 14TH ST, CENTERVILLE, IA 52544-1035
(641) 670-0248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100747
IA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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