Individual
JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-NA, CRNA
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2000
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
217988
LA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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