Jennie Smith

NPI #1669566105 in Warm Springs, Oregon

Provider Information

NPI Number
1669566105
Entity Type
Individual
Name
Jennie Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1270 KOTNUM ROAD
Address 2
WARM SPRINGS HEALTH AND WELLNESS CENTER
State
Oregon
ZIP Code
97741
Phone
(541) 553-2478

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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