Individual
JESSICA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP # 300, SHREVEPORT, LA 71105-6000
(318) 798-4488
(318) 798-4431
Mailing address
PO BOX 415000 LBX 410604, NASHVILLE, TN 37241-0604
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06271
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121031
—
LA
Enumeration date
08/27/2010
Last updated
05/28/2019
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