Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
930185
NC
Other
Enumeration date
10/11/2006
Last updated
12/27/2019
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