Smith, Jenna Rae

Smith, Jenna Rae is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr , Fort Wayne IN 46845-1713. She recently has only one registered license in Nursing Service Providers / Urology, which is considered as her primary health care specialty. Smith, Jenna Rae can be contacted via phone (260) 425-5400.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Fort Wayne IN 46845-1713
Phone: (260) 425-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X 28209700A Indiana

Profile Details

NPI number 1720838816
LBN Legal business name Smith, Jenna Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 2024 - about 9 months 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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