Individual
KRISTIE JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP
Contact information
Practice address
118 JOHNS DR, LEESBURG, GA 31763-4506
(229) 438-7051
Mailing address
118 JOHNS DR, LEESBURG, GA 31763-4506
(229) 438-7051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN152744
GA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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