| Doctor Name: | MS. PEGGY JOAN SMITH |
| NPI Number: | 1235454265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 085071371RN |
| Business Practice Address: | 8401 Old Stage Rd Unit 99 Central Point, OR - 975029784 |
| Business Phone Number: | 5418552025 |
| Business Fax Number: | |
| Mailing Address: | 8401 Old Stage Rd Unit 99, CENTRAL POINT |
| State: | OR |
| Postal Code: | 975029784 |
| Phone Number: | 5418552025 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2010 |
| NPI Last Update Date: | 04/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 085071371RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |