Individual
JENNIFER E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 NE 15TH ST, OKLAHOMA CITY, OK 73104-4602
(405) 271-6242
(405) 271-2887
Mailing address
820 NE 15TH ST, OKLAHOMA CITY, OK 73104-4602
(405) 271-6242
(405) 271-2887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APA2119
OK
Other
Enumeration date
02/22/2012
Last updated
10/18/2020
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