NPI 1285083204

Jeniqua Smith

Practitioner Other Technician Vicksburg, MS

Practice location

Address: 815 Belmont St, Vicksburg, MS 39180-3827
Phone: (601) 218-2551

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Mississippi →

Registry record

NPI: 1285083204
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2016
Record last updated: 9 Jun 2016

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.