Individual
JANINE KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2861 BROAD AVENUE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38112
(901) 260-8450
(901) 260-8590
Mailing address
2595 CENTRAL AVENUE, CHRIST COMMUNITY HEALTH SERVICES IN, MEMPHIS, TN 38104
(901) 260-8551
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1905
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521009
—
TN
Enumeration date
09/17/2010
Last updated
03/26/2015
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