Individual
MR. QUINTIN CRAIG SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3662 W OAK ST, JENA, LA 71342-4474
(318) 495-2273
Mailing address
3662 W OAK ST, JENA, LA 71342-4474
(318) 495-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237202
LA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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