BRENDA L SMOOT

JACKSON, MS
NPI1568572055
Former NameBRENDA L HARRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R856673)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Mrs. BRENDA L SMOOT FNP
1500 E WOODROW WILSON AVE NONE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Mailing Address
Mrs. BRENDA L SMOOT FNP
4150 S SIWELL RD NONE
JACKSON, MS 39212-6209
Phone number: 601-362-4471
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