Bagwell Smith, Jennifer Renee
Bagwell Smith, Jennifer Renee is an individual health care provider with primary practice located at 416 S Henderson St , Fort Worth TX 76104-1017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bagwell Smith, Jennifer Renee can be contacted via phone (682) 478-8123.Contact Information
Primary practice address
416 S Henderson St
Fort Worth TX 76104-1017
Phone: (682) 478-8123
Fax: (888) 851-5356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP118728 | Texas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 692657 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 692657 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 083700 | Texas |
Profile Details
| NPI number | 1710217682 |
|---|---|
| LBN Legal business name | Bagwell Smith, Jennifer Renee |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2009 |
| Last updated | Jun 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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