Individual
JACQUELINE ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 STATE ROUTE 521 STE 101B, DELAWARE, OH 43015-8003
(740) 417-4977
(740) 990-0004
Mailing address
9490 EMERSON DR, POWELL, OH 43065-8021
(419) 937-7287
(740) 990-0004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.022255
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022255
OH
Other
Enumeration date
01/31/2018
Last updated
06/24/2024
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