| Doctor Name: | JODY KAY SMITH |
| NPI Number: | 1043459134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 718192 |
| Business Practice Address: | 26 Village Creek Dr Cabot, AR - 720238777 |
| Business Phone Number: | 5019413441 |
| Business Fax Number: | |
| Mailing Address: | 26 Village Creek Dr, CABOT |
| State: | AR |
| Postal Code: | 720238777 |
| Phone Number: | 5019413441 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2009 |
| NPI Last Update Date: | 02/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 718192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |