Individual
JOHNATHAN CROSBY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 383-8559
Mailing address
4901 MOORE DR, NEW ORLEANS, LA 70122-2515
(504) 621-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207151
LA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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