MR. JOHNATHON CRAWFORD SMITH SR. CLPN
NPI 1275718660
Licensed Practical Nurse in Mantachie, MS
- Individual
- Male
- Licensed Practical Nurse
About JOHNATHON SMITH
This page provides the complete NPI Profile along with additional information for Johnathon Smith, a provider established in Mantachie, Mississippi with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1275718660 assigned on January 2008. The practitioner's primary taxonomy code is 164W00000X with license number P231371 (MS). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1275718660 Verify this NPI
- Provider Name
- MR. JOHNATHON CRAWFORD SMITH SR. CLPN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 165 BANKHEAD RD SW MANTACHIE, MS 38855
- Location Phone
- (662) 840-1944
- Mailing Address
- 165 BANKHEAD ROAD MANTACHIE, MS 38855
- Mailing Phone
- (662) 840-1944
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-03-2008
- Last Update Date
- 01-03-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- P231371
- License State
- MS
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275718660, enumerated as an "individual" on January 03, 2008.
The provider is located at 165 BANKHEAD RD SW MANTACHIE, MS 38855 and the phone number is (662) 840-1944.
Licensed Practical Nurse with taxonomy code 164W00000X.
