Individual
MRS. JERICA SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P-C
Contact information
Practice address
400 SHADOWLINE DR, SUITE 104, BOONE, NC 28607-5089
(828) 268-1187
Mailing address
6672 ROMINGER RD, SUGAR GROVE, NC 28679-9409
(919) 336-7503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214162
NC
Other
Enumeration date
01/11/2010
Last updated
05/15/2014
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