Doctor Name: | MRS. JANEE DANIELLE SMITH |
NPI Number: | 1245535509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP |
License Number: | 06221 |
Business Practice Address: | 930 Pinehill Rd Jena, LA - 71342 |
Business Phone Number: | 3189927613 |
Business Fax Number: | |
Mailing Address: | 144 Legacy Pointe Dr, PINEVILLE |
State: | LA |
Postal Code: | 713604675 |
Phone Number: | 3186641862 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 06221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |