Individual
JENNIFER NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5623 US 221 S, MARION, NC 28752-7028
(828) 659-9000
Mailing address
1633 SUGAR HILL RD, MARION, NC 28752-5239
(828) 652-7776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02854
NC
363AM0700X
Medical Physician Assistant
0010-02854
NC
Other
Enumeration date
05/04/2011
Last updated
10/31/2023
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