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
(573) 996-5216
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017022439
MO
363LF0000X
Family Nurse Practitioner
Primary
2022025648
MO
Other
Enumeration date
07/02/2022
Last updated
06/06/2026
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