Individual
MRS. JEANNA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1497 FAIR RD STE 206, STATESBORO, GA 30458-0824
(912) 486-1121
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN-NP152964
GA
363LF0000X
Family Nurse Practitioner
21117
SC
363LF0000X
Family Nurse Practitioner
RN152964
GA
Other
Enumeration date
09/28/2017
Last updated
02/09/2026
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