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Individual

JODI D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND, NP

Contact information

Practice address
2550 S PARKER RD, #400, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
2550 S PARKER RD, #400, AURORA, CO 80014-1622
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3963
CO
364S00000X
Clinical Nurse Specialist
3962
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12224
KAISER COMMERCIAL NUMBER
CO
05
26236362
CO
Enumeration date
10/28/2010
Last updated
07/21/2022
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