Individual
JENNIFER CAROL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APNP
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 257-5100
Mailing address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(414) 708-5330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7291-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7291-33
WI
Other
Enumeration date
09/28/2016
Last updated
04/05/2024
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