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Jackie Smith
Family Nurse Practitioner in Louisville, Kentucky
NPI 1588030688

Jackie Smith is a Family Nurse Practitioner based in Louisville, KY and is specialized in Family. Jackie Smith practices in Louisville, KY. The NPI Number for Jackie Smith is 1588030688 and holds a License No. 3009478 (Kentucky).

The current practice location address for Jackie Smith is 215 Central Ave Ste 100, Louisville, KY and can be reached out via phone at 502-588-8720.

Location: 215 Central Ave Ste 100, Louisville, KY, 40201-0909
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Provider Profile Details
NPI Number
1588030688
Provider Name
Jackie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 Central Ave Ste 100, Louisville, KY, 40201-0909
Phone Number
502-588-8720
Fax Number
Provider Enumeration Date
08/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100373600 05 KY
institution
Provider Business Practice Location Address Details
Address
215 Central Ave Ste 100
City
State
Zip
40208-1450
Phone Number
502-588-8720
Fax Number
person
Provider Business Mailing Address Details
Address
215 Central Ave Ste 100
City
State
Zip
40208-1450
Phone Number
502-588-8720
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3009478 (Kentucky)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3009478 (Kentucky)
Definition
Definition to come...
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