Provider Demographics
NPI:1275357105
Name:SMITH, JANA
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 MONTCLAIR RD STE A
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2645
Mailing Address - Country:US
Mailing Address - Phone:205-775-0300
Mailing Address - Fax:
Practice Address - Street 1:3400 HIGHWAY 78 E STE 200
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-8950
Practice Address - Country:US
Practice Address - Phone:205-512-1015
Practice Address - Fax:205-618-9706
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist