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1831878529
MIRANDA MARIE SMITH
JACKSON, TN
NPI
1831878529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN APN0000033695)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
MIRANDA MARIE SMITH FNP-C
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-5000
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Mailing Address
MIRANDA MARIE SMITH FNP-C
160 JOHNSTON LOOP RD
JACKSON, TN 38301-9554
Phone number: 731-676-2450
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