Individual
JACLYN RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-BC
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-6725
(319) 369-4633
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-6725
(319) 369-4633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A165972
IA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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