NPI 1063180420

Jennifer D Smith, FNP

Practitioner Nurse Practitioner Brookhaven, MS

Practice location

Address: 1005 W Congress St, Brookhaven, MS 39601-2603
Phone: (601) 833-9388
Fax: (601) 833-9495

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 904854 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1063180420
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2021
Record last updated: 1 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.