Smith, Jacqueline Rena
Smith, Jacqueline Rena is an sole proprietor health care provider with primary practice located at 1224 Trotwood Ave , Columbia TN 38401-4802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Smith, Jacqueline Rena can be contacted via phone (931) 381-1111.Contact Information
Primary practice address
1224 Trotwood Ave
Columbia TN 38401-4802
Phone: (931) 381-1111
Fax: (931) 540-4294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 6069 | Tennessee |
Profile Details
| NPI number | 1326192519 |
|---|---|
| LBN Legal business name | Smith, Jacqueline Rena |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326192519 | NPPES |
| Tennessee | Other | 6069 | TN - APN LICENSE |
| Tennessee | Other | 70910 | TN - APN LICENSE |
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