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Individual

JESSICA KAY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2650 EXECUTIVE PARK NW STE 5, CLEVELAND, TN 37312-2746
(423) 479-9679
(423) 559-9046
Mailing address
2650 EXECUTIVE PARK NW STE 5, CLEVELAND, TN 37312-2746
(423) 479-9679
(423) 559-9046

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141571
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000013246
TN

Other

Enumeration date
03/10/2008
Last updated
12/19/2019
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