Individual
JAMIE N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, P.A.-C
Contact information
Practice address
3414 MOSS ST, STE F, LAFAYETTE, LA 70507-6107
(337) 706-8986
(337) 706-8714
Mailing address
3414 MOSS ST, STE F, LAFAYETTE, LA 70507-6107
(337) 706-8986
(337) 706-8714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200224
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882097
—
LA
Enumeration date
07/23/2008
Last updated
05/27/2015
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