Individual
JENNIFER E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30001837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116298
—
OR
01
—
50733
L&I
WA
05
—
9607623
—
WA
Enumeration date
02/17/2006
Last updated
11/27/2007
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