Brenda L Smoot is a Family in Jackson, Mississippi. Brenda L Smoot practices all healthcare services and medical treatments related to Family. The NPI Number for Brenda L Smoot is 1568572055. The last update date is 2007-07-08.
Brenda L Smoot's current location address is 4150 S Siwell Rd, Jackson, Mississippi. You can contact this provider via phone number 6013624471 and fax number 6013641357. The mailing address for Brenda L Smoot is 4150 S Siwell Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda L Smoot |
|---|---|
| Address | 4150 S Siwell Rd, Jackson, Mississippi |
| Phone Number | 6013624471 |
| Fax Number | 6013641357 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1568572055 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4150 S Siwell Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392126209 |
| Phone Number | 6013624471 |
| Fax Number | 6013641357 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R856673 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the Brenda L Smoot's 1568572055?
The Brenda L Smoot's NPI (National Provider Identifier) Number is 1568572055. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brenda L Smoot?
The Brenda L Smoot is situated at 4150 S Siwell Rd, in the city of Jackson, state of MS, with the zip code 392126209.
What is Brenda L Smoot's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda L Smoot's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did Brenda L Smoot receive its 1568572055 assignment from the Centers for Medicare & Medicaid Services?
The Brenda L Smoot was assigned its 1568572055 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brenda L Smoot most recently updated or revised?
The details related to Brenda L Smoot, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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