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1699081620
JESSICA ELIZABETH SMITH
SHREVEPORT, LA
NPI
1699081620
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Former Name
JESSICA ELIZABETH WISE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP06271)
Enumeration Date
2010-08-27
Last Update Date
2019-05-28
Business Address
JESSICA ELIZABETH SMITH FNP
1455 E BERT KOUNS INDUSTRIAL LOOP # 300
SHREVEPORT, LA 71105-6000
Phone number: 318-798-4488
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Mailing Address
JESSICA ELIZABETH SMITH FNP
PO BOX 415000 LBX 410604
NASHVILLE, TN 37241-0604
Phone number: 318-798-4539
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