IndividualActive
Jaclyn Smith, RN, CCM
NPI 1063287050 · Case Management Registered Nurse · Soddy Daisy, TN
Provider details
- NPI number
- 1063287050
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN, CCM
- Sex
- Female
- Sole proprietor
- No
- License
- 0000188383 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
374 Windy Hollow Ln
Soddy Daisy, TN 37379-2858
Phone: (423) 243-8970
Fax: (877) 211-6848
Approximate (ZIP-level) locationGet directions
Mailing address
374 Windy Hollow Ln
Soddy Daisy, TN 37379-2858
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.