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Individual

JAMIE RENEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1950 PINTO LN, LAS VEGAS, NV 89106-4017
(702) 438-2229
(702) 385-0982
Mailing address
8906 SPANISH RIDGE AVE, STE. 202, LAS VEGAS, NV 89148-1304
(702) 577-1622
(702) 912-4994

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001124
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952536138
NV
01
APRN001124
STATE APRN LICENSE
NV
Enumeration date
05/18/2009
Last updated
05/04/2017
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