Smith, Jacqueline Elizabeth

Smith, Jacqueline Elizabeth is an sole proprietor health care provider with primary practice located at 29877 Telegraph Rd Suite 401, Southfield MI 48034-1332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Smith, Jacqueline Elizabeth can be contacted via phone (248) 651-8344.

Contact Information

Primary practice address
29877 Telegraph Rd Suite 401 Southfield MI 48034-1332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704236096 Michigan

Profile Details

NPI number 1538544218
LBN Legal business name Smith, Jacqueline Elizabeth
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2015
Last updated Sep 25th, 2019 - about 5 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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