Individual provider · Type 1 NPI

Jackie Smith

Family Nurse Practitioner · Louisville, KY

NPI number 1588030688 Active

Practice location

215 Central Ave Ste 100
Louisville, KY 40208-1450

Mailing address

PO Box 909
Louisville, KY 40201-0909

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X3009478 (KY)
Family Nurse Practitioner Primary 363LF0000X3009478 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1588030688

Jackie Smith's National Provider Identifier is 1588030688, issued on Aug 12, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Apr 28, 2022.