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Individual

JENNIFER SMOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2104 W MAIN ST, ARTESIA, NM 88210-3714
(575) 748-1599
(575) 208-7284
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 221-5965
(432) 221-5981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02511
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CNP-02511
LICENSE NUMBER
NM
Enumeration date
11/04/2014
Last updated
03/01/2023
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