Provider Demographics
NPI:1720798200
Name:SMITH, JOCELYN LATRICE (PHLEBOTOMIST)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:LATRICE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:L
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHLEBOTOMIST
Mailing Address - Street 1:1501 ALLEN ST APT 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-2998
Mailing Address - Country:US
Mailing Address - Phone:704-274-6898
Mailing Address - Fax:
Practice Address - Street 1:1501 ALLEN ST APT 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-2998
Practice Address - Country:US
Practice Address - Phone:704-274-6898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-25
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy