person
Jimmy D Smith JR., FNP
Family Nurse Practitioner in Prescott, Arizona
NPI 1629027925

Jimmy D Smith JR. is a Family Nurse Practitioner based in Prescott, AZ and is specialized in Family. Jimmy D Smith JR. practices in Prescott, AZ and has the professional credentials of FNP. The NPI Number for Jimmy D Smith JR. is 1629027925 and holds a License No. AP2306 (Arizona).

The current practice location address for Jimmy D Smith JR. is 1001 Willow Creek Rd Ste 2200, Prescott, AZ and can be reached out via phone at 928-445-6025 and via fax at 928-778-3026. You can also correspond with Jimmy D Smith JR. through the mailing address at PO BOX 10880, PRESCOTT, AZ - 86304-0880 (mailing address contact number: 602-406-4786).

Location: 1001 Willow Creek Rd Ste 2200, Prescott, AZ, 86304-0880
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Provider Profile Details
NPI Number
1629027925
Provider Name
Jimmy D Smith JR.
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1001 Willow Creek Rd Ste 2200, Prescott, AZ, 86304-0880
Phone Number
928-445-6025
Fax Number
928-778-3026
Provider Enumeration Date
05/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084440 05 AZ
Z142983 01 AZ MEDICARE
institution
Provider Business Practice Location Address Details
Address
1001 Willow Creek Rd Ste 2200
City
State
Zip
86301-1614
Phone Number
928-445-6025
Fax Number
928-778-3026
person
Provider Business Mailing Address Details
Address
1001 Willow Creek Rd Ste 2200
City
State
Zip
86301-1614
Phone Number
928-445-6025
Fax Number
928-778-3026
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP2306 (Arizona)
Definition
Definition to come...
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