Individual
MRS. MARGARET JAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 600, ETMC ORTHOPEDIC INSTITUTE, TYLER, TX 75701-1954
(903) 596-3844
(903) 596-3843
Mailing address
128 EMERALD BAY DR, BULLARD, TX 75757-9367
(903) 477-2888
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F1207131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687363
RN LICENSE
TX
01
—
F1207131
FNP-C LICENSE
TX
Enumeration date
03/25/2008
Last updated
04/01/2011
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