Individual
MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
971 LAKELAND DR, JACKSON, MS 39216-4643
(601) 362-6900
Mailing address
360 DRIFTWOOD LN, FLORENCE, MS 39073-2300
(601) 213-8496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905883
MS
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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