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Individual

JENNIFER LYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
2335 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 297-0396
Mailing address
2335 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 297-0356

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN268863
GA
363LF0000X
Family Nurse Practitioner
268863
GA
363LF0000X
Family Nurse Practitioner
Primary
RN268863
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN268863
GA
Enumeration date
08/24/2021
Last updated
08/24/2023
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