MRS. JACQUELYN LYON SMITH CRNP
NPI 1346625894
Nurse Practitioner - Family in Dothan, AL
Active since July 27, 2015
About Mrs. Jacquelyn Lyon Smith Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELYN LYON SMITH CRNP (NPI 1346625894) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-116383) and active in the NPI registry since July 2015.
NPPES Registry Identity
NPI1346625894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELYN LYON SMITHCredential: CRNP
Location Address2740 HEADLAND AVEDothan, AL 36303-1236
Mailing Address2740 Headland AveDothan, AL 36303-1236 · (334) 792-1100 · Fax (334) 671-4168
Phone(334) 792-1100
Fax(334) 671-4168
Sole ProprietorNo
Enumeration DateJuly 27, 2015
✔ NPI 1346625894 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-116383
2740 HEADLAND AVE, Dothan, AL 36303
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Durable Medical Equipment & Medical Supplies
2740 HEADLAND AVE
DOTHAN, AL 36303
DOTHAN, AL 36303
Clinical Nurse Specialist (Psychiatric/Mental Health)
2740 HEADLAND AVE
DOTHAN, AL 36303
DOTHAN, AL 36303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346625894, enumerated as an "individual" on July 27, 2015.
The provider is located at 2740 HEADLAND AVE DOTHAN, AL 36303 and the phone number is (334) 792-1100.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
