Individual
JESSICA BUCK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
4787 HIGHWAY 151, DOWNSVILLE, LA 71234-5145
(985) 805-6068
(504) 930-4019
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226521
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2592939
—
LA
Enumeration date
07/05/2022
Last updated
03/21/2025
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