| Doctor Name: | MRS. JENNIFER SMITH KIRK |
| NPI Number: | 1033363189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-096853 |
| Business Practice Address: | 1540 E Main St Dothan, AL - 363013012 |
| Business Phone Number: | 3347932618 |
| Business Fax Number: | 3347927353 |
| Mailing Address: | 1540 E Main St, DOTHAN |
| State: | AL |
| Postal Code: | 363013012 |
| Phone Number: | 3347932618 |
| Fax Number: | 3347927353 |
| NPI Enumeration Date: | 11/14/2008 |
| NPI Last Update Date: | 11/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-096853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |