Individual
JACQUELINE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
736 N ELM ST, HENDERSON, KY 42420-2938
(270) 827-4000
(270) 827-5325
Mailing address
PO BOX 638706, CINCINNATI, OH 45263-8706
(270) 827-7558
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012618
KY
363LF0000X
Family Nurse Practitioner
Primary
3012618
KY
Other
Enumeration date
08/22/2018
Last updated
01/06/2023
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