Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346625894 Individual Practitioner Female Practitioner

Jacquelyn Lyon Smith , CRNP

Nurse Practitioner - Family • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Jacquelyn Smith, CRNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Dothan, AL. Practice services are available at 2740 HEADLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2740 Headland Ave

Dothan, AL 363031236

Telephone 3347921100
Fax 3346714168
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
152 Specialists

Practicing in Dothan, AL (4430 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License AL 1-116383

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Beverly Kosik , CRNP

Family Medicine - Hospice and Palliative Medicine

NPI 1295589778

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2015

Registered at 2740 HEADLAND AVE, DOTHAN, AL 363031236 (Tel: 3347921100)

📍
Updated Business Mailing Address July 27, 2015

Registered at 2740 HEADLAND AVE, DOTHAN, AL 363031236 (Tel: 3347921100)

👤
Provider Name / Credentials Updated July 27, 2015

Recorded as JACQUELYN SMITH, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Nurse Practitioner (License #1-116383 in AL)

🟢
Initial NPI Registration & Enumeration July 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346625894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2015
Last Update: July 27, 2015
Sole Proprietor: No

Mailing Address

2740 Headland Ave

Dothan, AL 363031236

Phone: 3347921100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.