Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 E BROAD ST, ELYRIA, OH 44035-6306
(440) 366-2239
(440) 365-1366
Mailing address
578 N LEAVITT RD, AMHERST, OH 44001-1131
(440) 213-0858
(440) 988-1227
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.019978
OH
Other
Enumeration date
10/19/2016
Last updated
10/12/2018
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