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1407550668
JACQUITA DEADRA SMITH
FRANKLIN, TN
NPI
1407550668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA RN275254)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
JACQUITA DEADRA SMITH AGNP-C
201 JORDAN RD STE 200
FRANKLIN, TN 37067-4495
Phone number: 731-847-1428
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Mailing Address
JACQUITA DEADRA SMITH AGNP-C
113 SUGARBERRY DR NE
MILLEDGEVILLE, GA 31061-8069
Phone number: 478-363-5428
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