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Mr. Johnathon Crawford Smith SR., CLPN
Licensed Practical Nurse in Mantachie, Mississippi
NPI 1275718660

Johnathon Crawford Smith SR. is a Licensed Practical Nurse based in Mantachie, MS. Johnathon Crawford Smith SR. practices in Mantachie, MS and has the professional credentials of CLPN. The NPI Number for Johnathon Crawford Smith SR. is 1275718660 and holds a License No. P231371 (Mississippi).

The current practice location address for Johnathon Crawford Smith SR. is 165 Bankhead Rd Sw, Mantachie, MS and can be reached out via phone at 662-840-1944.

Location: 165 Bankhead Rd Sw, Mantachie, MS, 38855-7265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275718660
Provider Name
Johnathon Crawford Smith SR.
Credential
CLPN
Provider Entity Type
Individual
Gender
Male
Address
165 Bankhead Rd Sw, Mantachie, MS, 38855-7265
Phone Number
662-840-1944
Fax Number
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
165 Bankhead Rd Sw
City
Mantachie
State
Mississippi
Zip
38855-7267
Phone Number
662-840-1944
Fax Number
person
Provider Business Mailing Address Details
Address
165 Bankhead Rd Sw
City
Mantachie
State
Mississippi
Zip
38855-7267
Phone Number
662-840-1944
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
P231371 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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