Individual
MRS. JENNIFER LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
109 LEROUX ST, DONIPHAN, MO 63935-1038
(573) 996-2136
Mailing address
1988 RIPLEY ROUTE CC, DONIPHAN, MO 63935-7887
(573) 382-6524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022025648
MO
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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