KODY JACOB SMITHERMAN

MARYVILLE, TN
NPI1811643844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  31220)
Enumeration Date2022-02-28
Last Update Date2025-10-03
Business Address
Mr. KODY JACOB SMITHERMAN FNP
1012 JAMESTOWN WAY
MARYVILLE, TN 37803-5865
Phone number: 872-231-3162
Mailing Address
Mr. KODY JACOB SMITHERMAN FNP
PO BOX 74008272
CHICAGO, IL 60674-8272
Phone number: 702-899-0595
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