Individual provider · Type 1 NPI
Jimmy Reece Smith
Psychiatric/Mental Health Nurse Practitioner · Bowling Green, KY
NPI number
1629701032
Active
Practice location
384 Mount Everest Way
Bowling Green, KY 42104-8569
Mailing address
1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Other practice locations
- 1143 Fairway St Ste 103, Bowling Green, KY 42103-2452 · (407) 347-4536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1099382 (KY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4026120 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629701032
Jimmy Reece Smith's National Provider Identifier is 1629701032, issued on Jul 4, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bowling Green, KY. The record was last updated on Dec 4, 2024.