Individual
JO ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
133 N VIRGINIA ST, PORT LAVACA, TX 77979-3428
(361) 552-4886
(361) 552-4896
Mailing address
96 BERRY RD, HOUSTON, TX 77022-3057
(713) 699-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
674982
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP122250
TX
Other
Enumeration date
11/03/2012
Last updated
04/28/2021
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