JENNIPHER LYN SMOTHERS


Address: 1541 Kings Hwy, Shreveport, LA 71103-4228
Phone: 3186260000

JENNIPHER LYN SMOTHERS (NPI# 1528583549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528583549
Entity Type Individual
Full Name JENNIPHER LYN SMOTHERS
Credential NP
Practice Address 1541 Kings Hwy
Shreveport
LA 71103-4228
Mailing Address 1431 Dalzell St
Shreveport
LA 71103-3709
Practice Telephone 3186260000
Mailing Telephone 3186260000
Mailing Fax Number 3186294779
Enumeration Date 2017-08-10
Last Update Date 2017-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP09355 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1541 KINGS HWY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912909912 Brfhh Shreveport LLC General Acute Care Hospital 1541 Kings Hwy, Shreveport, LA 71103-4228 2005-08-10
1851991947 Gina Marie Kristiansen Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-10-28
1376142893 Candice Crow Internal Medicine 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-10-26
1518574441 Jadebrey Vyshette Kennon Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-24
1629683230 Amanda Renae Simmons Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1255945382 Frank James List Pharmacy Technician 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-05
1700496312 Caroline Leigh Harris Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-08-07
1740899400 Brittany Allyson Bozzell Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-07-29
1386253169 Kristyn Turner Pharmacist 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-07-28
1508481722 Alexandra Blair Lemaire Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376092510 Tanquenika Markray Nurse Practitioner 351 Hearne Ave, Shreveport, LA 71103-2019 2016-09-29
1619226727 Micah Boyett Pilcher Nurse Practitioner 9220 Ellerbe Rd Ste 700, Shreveport, LA 71106-6709 2012-09-05
1568489342 Margaret S Raish Nurse Practitioner 410 W. 70th Street, Linwood School Based Health Center, Shreveport, LA 71106 2006-07-16
1568015584 Lori J Phillips Nurse Practitioner 909 Olive St, Shreveport, LA 71104-2103 2019-07-18
1447810973 Ashley C Viviano Nurse Practitioner 1919 Fairfield Ave, Shreveport, LA 71101-4436 2019-06-17
1104311778 Amanda Carfagno Nurse Practitioner 3100 Samford Ave, Shreveport, LA 71103-4239 2018-06-26
1598137374 Jamiee Brice Nurse Practitioner 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 2015-10-20
1336516533 Holly Rivers Nurse Practitioner 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 2015-08-24
1639545692 Angela Moyer Nurse Practitioner 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 2015-08-13
1831533553 Jennifer Yvonne Treadwell Nurse Practitioner 1501 Kings Hwy, Shreveport, LA 71103-4228 2013-04-24
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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