Individual
JEFFREY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
209 CEDAR GROVE DR, YOUNGSVILLE, LA 70592-5853
(337) 962-1539
Mailing address
209 CEDAR GROVE DR, YOUNGSVILLE, LA 70592-5853
(337) 962-1539
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN130117
LA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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