Mrs Jennifer Darlene Smith, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Braxton, Mississippi. Mrs Jennifer Darlene Smith is licensed to practice in Mississippi (license number 906848) and her current practice location is
1814 St John Rd, Braxton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 906-3857.
NPI number for Mrs Jennifer Darlene Smith is 1063260172 and her current mailing address is 1814 St John Rd, Braxton, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063260172.
Provider's Profile
Full Name | Mrs Jennifer Darlene Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1814 St John Rd, Braxton, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063260172
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 08/02/2024
Medical Identifiers
Medical identifiers for Mrs Jennifer Darlene Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063260172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 875311 (Mississippi) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906848 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Darlene Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Darlene Smith, PMHNP 1814 St John Rd, Braxton, MS 39044-9470 Ph: (601) 906-3857 | Mrs Jennifer Darlene Smith, PMHNP 1814 St John Rd, Braxton, MS 39044-9470 Ph: (601) 906-3857 |
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