Individual
JENNIFER MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2097
(601) 968-1000
Mailing address
112 WOODHAVEN CT, JACKSON, MS 39206-2522
(601) 813-9132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152520
MS
Other
Enumeration date
01/07/2025
Last updated
01/08/2025
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