Individual
JASON LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 872-2441
Mailing address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(727) 755-1516
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
12/22/2020
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