Individual provider · Type 1 NPI

Jessica Sue-Ellen Smith, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Kettering, OH

NPI number 1306796206 Active

Practice location

2555 S Dixie Dr Ste 108
Kettering, OH 45409-1532

Fax (937) 871-4586

Mailing address

253 Autumn Ct
Englewood, OH 45315-7746

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.0041333 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1306796206

Jessica Sue-Ellen Smith, PMHNP-BC's National Provider Identifier is 1306796206, issued on Jan 30, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kettering, OH. The record was last updated on Jul 28, 2026.