Individual
JODI D SMITH
Active
Individual
JODI D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, NP
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
Update your record
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