NPI 1114761228
Jennifer Smith, NCPT
Practice location
- Address
- 625 Kenmoor Ave SE STE 350 Pmb 392566, Grand Rapids, MI 49546-2395
- Phone
- (817) 986-3605
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1114761228
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Jun 2024
- Record last updated
- 24 Jun 2024
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.