Individual
JENALEE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9545 SHORE DR, NORFOLK, VA 23518-1711
(757) 785-4861
(757) 932-0979
Mailing address
9545 SHORE DR STE 200, NORFOLK, VA 23518-1711
(757) 785-4861
(757) 932-0979
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
12/13/2024
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