Ulisa D Smith

NPI 1376793927 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1376793927
Gender Female
Enumeration Date 09/19/2008
Last Updated 09/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Business Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Toxanomy
Taxonomy Code 164W00000X
License State Texas
License Number 165162
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According to our database, Ulisa D Smith NPI is 1376793927, taxonomy code is 164W00000X and license number is 165162, license state is located at Texas. Ulisa D Smith physically located at 2707 Browns Ln, Jonesboro AR, 72401-7213. NPI Number Ulisa D Smith has the Individual type.

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1376793927 NPI number is provided on an as is basis without warranty of any kind. 1376793927 is maintained by the National Plan & Provider Enumeration System. The contents of Ulisa D Smith are for informational purposes only.