Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHNATHON CRAWFORD SMITH SR., CLPN
Active Sole ProprietorMR. JOHNATHON CRAWFORD SMITH SR., CLPN is a Licensed Practical Nurse healthcare provider located in MANTACHIE, Mississippi. NPI 1275718660 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MANTACHIE, MS
Registration Details
- NPI Number
- 1275718660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2008 (18.634106188249 yrs)
- Last Updated
- Jan 3, 2008
- License
-
P231371 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
165 BANKHEAD RD SWMANTACHIE, MS, 388557267Browse MS providers · Browse ZIP 38855
- Phone
- 6628401944
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.