| Doctor Name: | JODI ANN SMALE |
| NPI Number: | 1720318553 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP- BC |
| License Number: | 4704185313 |
| Business Practice Address: | 1003 Woodside Ave Essexville, MI - 487321234 |
| Business Phone Number: | 9898927722 |
| Business Fax Number: | 9898927455 |
| Mailing Address: | 4672 Hill St, CASS CITY |
| State: | MI |
| Postal Code: | 487261072 |
| Phone Number: | 9898728202 |
| Fax Number: | 9898721245 |
| NPI Enumeration Date: | 12/29/2009 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704185313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |