Smyly, Jennifer L.

Smyly, Jennifer L. is an individual health care provider with primary practice located at 120 Veterans Drive Va State Home / Oxford, Oxford MS 38655. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Smyly, Jennifer L. can be contacted via phone (601) 206-9195.

Contact Information

Primary practice address
120 Veterans Drive Va State Home / Oxford Oxford MS 38655
Phone: (601) 206-9195
Fax: (601) 957-8391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2725 Mississippi

Profile Details

NPI number 1548513476
LBN Legal business name Smyly, Jennifer L.
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Oct 16th, 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 1548513476 NPPES
Mississippi MEDICAID 09014160

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