Individual
JEANETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 E CEDAR AVE, GLADWIN, MI 48624-7003
(989) 246-6490
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704295405
MI
Other
Enumeration date
08/01/2018
Last updated
07/12/2023
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