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Ms. Loretta Jean Smith, FNP
Family Nurse Practitioner in Guntown, Mississippi
NPI 1457533424

Loretta Jean Smith is a Family Nurse Practitioner based in Guntown, MS and is specialized in Family. Loretta Jean Smith practices in Guntown, MS and has the professional credentials of FNP. The NPI Number for Loretta Jean Smith is 1457533424 and holds a License No. R855649 (Mississippi).

The current practice location address for Loretta Jean Smith is 571 Mitchell Road, Guntown, MS and can be reached out via phone at 662-348-2002 and via fax at 662-348-2001.

Location: 571 Mitchell Road, Guntown, MS, 38849-0156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457533424
Provider Name
Loretta Jean Smith
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
571 Mitchell Road, Guntown, MS, 38849-0156
Phone Number
662-348-2002
Fax Number
662-348-2001
Provider Enumeration Date
12/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00631368 05 MS
institution
Provider Business Practice Location Address Details
Address
571 Mitchell Road
City
Guntown
State
Mississippi
Zip
38849
Phone Number
662-348-2002
Fax Number
662-348-2001
person
Provider Business Mailing Address Details
Address
571 Mitchell Road
City
Guntown
State
Mississippi
Zip
38849
Phone Number
662-348-2002
Fax Number
662-348-2001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R855649 (Mississippi)
Definition
Definition to come...
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