Individual
MRS. JESSICA LORRAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
905 S 8TH ST STE B, DEMING, NM 88030-4037
(575) 543-7200
(575) 543-7250
Mailing address
1833 LAS TUNAS DR, LAS CRUCES, NM 88011-4956
(575) 571-0755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70905
NM
Other
Enumeration date
10/24/2017
Last updated
03/17/2023
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