Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2550 E GUADALUPE RD STE 107, GILBERT, AZ 85234-5114
(480) 964-5800
Mailing address
2550 E GUADALUPE RD STE 107, GILBERT, AZ 85234-5114
(480) 964-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8209
AZ
Other
Enumeration date
11/20/2015
Last updated
10/24/2017
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