Individual
JENNIFER LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7329 DONET DR NE, RIO RANCHO, NM 87144-8466
(505) 200-1104
Mailing address
7329 DONET DR NE, RIO RANCHO, NM 87144-8466
(505) 200-1104
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN-78870
NM
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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