Provider Demographics
NPI:1528351160
Name:SMITH, JENNIFER SIERRA (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SIERRA
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 VILLAGE PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-2379
Mailing Address - Country:US
Mailing Address - Phone:334-528-3871
Mailing Address - Fax:
Practice Address - Street 1:400 LEM MORRISON DRIVE SUITE 2086
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-7237
Practice Address - Country:US
Practice Address - Phone:334-528-3871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.344562084P0800X
VA01012577732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry