Jonathan Smith, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Brookhaven, MS

NPI

1205505666

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

904849 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2021-09-09

Last updated

2023-06-12