| NPI | 1780668210 |
|---|---|
| Other Name | JENNIFER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3004319) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KY 4319P) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KY 4319P) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4319P) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2023-08-01 |