Individual
MRS. JACKIE LYNN SMITH-LAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3632 AMERICAN WAY, CASPER, WY 82604-3164
(307) 233-7300
Mailing address
3632 AMERICAN WAY, CASPER, WY 82604-3164
(307) 233-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22070.1582
WY
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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