Jacqueline Rena Smith APRN, BC

NPI 1326192519 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1326192519
Gender Female
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1224 TROTWOOD AVE
COLUMBIA TN, 38401-4802, US
Phone (931) 381-1111
Fax (931) 540-4294
Business Location
1224 TROTWOOD AVE
COLUMBIA TN, 38401-4802, US
Phone (931) 381-1111
Fax (931) 540-4294
Toxanomy
Taxonomy Code 363LA2100X
License State Tennessee
License Number 6069
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According to our database, Ms. Jacqueline Rena Smith APRN, BC NPI is 1326192519, taxonomy code is 363LA2100X and license number is 6069, license state is located at Tennessee. Jacqueline Rena Smith APRN, BC physically located at 1224 Trotwood Ave, Columbia TN, 38401-4802. NPI Number Jacqueline Rena Smith APRN, BC has the Individual type.

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1326192519 NPI number is provided on an as is basis without warranty of any kind. 1326192519 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Rena Smith APRN, BC are for informational purposes only.