Smithwick, Jerrie D

Smithwick, Jerrie D is an individual health care provider with primary practice located at 3555 Knickerbocker Rd , San Angelo TX 76904-7610. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smithwick, Jerrie D can be contacted via phone (325) 949-9555.

Contact Information

Primary practice address
3555 Knickerbocker Rd San Angelo TX 76904-7610
Phone: (325) 949-9555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 454614 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 454614 Texas

Profile Details

NPI number 1881875698
LBN Legal business name Smithwick, Jerrie D
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Jan 5th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881875698 NPPES
Texas Other 454614 LICENSE

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