Smith, Jena Naomi
Smith, Jena Naomi is an individual health care provider with primary practice located at 212 Draperton Ct Price Dermatology, Ridgeland MS 39157-3905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Jena Naomi can be contacted via phone (601) 992-3996.Contact Information
Primary practice address
212 Draperton Ct Price Dermatology
Ridgeland MS 39157-3905
Phone: (601) 992-3996
Fax: (601) 414-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R822693 | Mississippi |
Profile Details
| NPI number | 1558370205 |
|---|---|
| LBN Legal business name | Smith, Jena Naomi |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | May 19th, 2016 - about 8 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 | 1558370205 | NPPES |
| Mississippi | MEDICAID | 04827502 |
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