Doctor Name: | FRANCES JEAN SMITH |
NPI Number: | 1720113160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 71000906A |
Business Practice Address: | 519 N Halleck Demotte, IN - 463100850 |
Business Phone Number: | 2199877750 |
Business Fax Number: | 2199875750 |
Mailing Address: | Po Box 850, DEMOTTE |
State: | IN |
Postal Code: | 463100850 |
Phone Number: | 2199877750 |
Fax Number: | 2199875750 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71000906A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |