Smith, Jennifer Nicole
Smith, Jennifer Nicole is an sole proprietor health care provider with primary practice located at 110 W Wood Hill Dr , Nags Head NC 27959-9394. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Jennifer Nicole can be contacted via phone (252) 216-4462.Contact Information
Primary practice address
110 W Wood Hill Dr
Nags Head NC 27959-9394
Phone: (252) 216-4462
Fax: (252) 408-6716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004992 | North Carolina |
Profile Details
| NPI number | 1710987771 |
|---|---|
| LBN Legal business name | Smith, Jennifer Nicole |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 28th, 2023 - about 2 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 | 1710987771 | NPPES |
| North Carolina | MEDICAID | 6003792 |
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