Individual
MRS. KAREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
709 W 9TH ST, JASPER, IN 47546-2609
(812) 481-8460
(812) 481-8465
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 481-1088
(812) 481-8497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001275
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200467630
—
IN
Enumeration date
05/15/2006
Last updated
12/16/2009
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