Smith, Jacquita Deadra
Smith, Jacquita Deadra is an sole proprietor health care provider with primary practice located at 201 Jordan Rd Ste 200 , Franklin TN 37067-4495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Smith, Jacquita Deadra can be contacted via phone (731) 847-1428.Contact Information
Primary practice address
201 Jordan Rd Ste 200
Franklin TN 37067-4495
Phone: (731) 847-1428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN275254 | Georgia |
Profile Details
| NPI number | 1407550668 |
|---|---|
| LBN Legal business name | Smith, Jacquita Deadra |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2023 |
| Last updated | Mar 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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