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1184142903
JENNIFER K SMITH
FORT WAYNE, IN
NPI
1184142903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: IN 71007430A)
Enumeration Date
2017-08-31
Last Update Date
2020-09-30
Business Address
JENNIFER K SMITH NP
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
JENNIFER K SMITH NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number:
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