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1205505666
JONATHAN SMITH
BROOKHAVEN, MS
NPI
1205505666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904849)
Enumeration Date
2021-09-09
Last Update Date
2023-06-12
Business Address
JONATHAN SMITH FNP
601 BROOKMAN DR EXT
BROOKHAVEN, MS 39601-2371
Phone number: 601-823-5275
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Mailing Address
JONATHAN SMITH FNP
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2350
Phone number: 601-833-6011
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