MR. JOHNATHON CRAWFORD SMITH SR. CLPN
NPI 1275718660
Licensed Practical Nurse in Mantachie, MS

Active since January 03, 2008
165 BANKHEAD RD SW, MANTACHIE, MS 38855(662) 840-1944 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Johnathon Crawford Smith Sr. Clpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHNATHON CRAWFORD SMITH SR. CLPN (NPI 1275718660) is an individual licensed practical nurse in Mantachie, Mississippi, licensed in Mississippi (P231371) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1275718660
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JOHNATHON CRAWFORD SMITH SR.Credential: CLPN
Location Address165 BANKHEAD RD SWMantachie, MS 38855-7267
Mailing Address165 Bankhead RoadMantachie, MS 38855-7265 · (662) 840-1944
Sole ProprietorYes
Enumeration DateJanuary 3, 2008
NPI 1275718660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MS · P231371
Definition
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.
165 BANKHEAD RD SW, Mantachie, MS 38855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathon Smith's NPI number?

The NPI number for Johnathon Smith is 1275718660. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Johnathon Smith located?

Johnathon Smith practices at 165 Bankhead Rd SW, Mantachie, MS 38855. The listed phone number is (662) 840-1944.

What is Johnathon Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Johnathon Smith was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.