Smith, Jacqueline A

Smith, Jacqueline A is an individual health care provider with primary practice located at 2434 S Eason Blvd , Tupelo MS 38804-6942. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Jacqueline A can be contacted via phone (662) 842-9217.

Contact Information

Primary practice address
2434 S Eason Blvd Tupelo MS 38804-6942
Phone: (662) 842-9217
Fax: (662) 680-5129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922278092
LBN Legal business name Smith, Jacqueline A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Mar 5th, 2008 - about 17 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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