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MRS. KEMBERLY JEAN HARRISON-SMITH NP

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

Registrant NPI Number: 1548693377

Individual Registrant:
MRS. KEMBERLY JEAN HARRISON-SMITH NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
675 HAMILTON ST  SPARTA, GA 31087-1837 US
Tel: 478-864-3448  Fax: 478-864-1288

Contact information for business:
P O BOX 371  WRIGHTSVILLE, GA 31096-2017 US
Tel: 478-864-3448  Fax: 478-864-1288

Registration Information:
NPI: 1548693377
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN081204

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
GEORGIA LICENSERN081204GA01
NURSE PRACTIONER LICENSEF0713377GA01




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