Individual
JEFFREY DON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGCNS-BC
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-0097
Mailing address
2854 LAKE VISTA RD, JACKSONVILLE, FL 32223-7934
(904) 631-8875
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
11021773
FL
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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