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JANIS LEIGH SMITH FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1184609893

Individual Registrant:
 JANIS LEIGH SMITH FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6065 STATE HIGHWAY 193  GEORGETOWN, CA 95634-9623 US
Tel: 530-333-2548  Fax: 530-748-0340

Contact information for business:
PO BOX 45680  SAN FRANCISCO, CA 94145-0680 US
Tel: 530-626-2787  Fax: --

Registration Information:
NPI: 1184609893
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CANPF13247

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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