Most Relevant Information
Provider Data
| NPI Number: | 1003477894 |
| Provider Name: | JESSICA SMOLEN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | R32606 |
Most Important Dates
| Enumeration Date: | 06/24/2019 |
| Last Updated: | 11/18/2021 |
Provider Practice Location
321 8TH AVE N
FARGO
ND
581024550
Practice Location Phone/Fax
| Phone: | 7012342525 |
| Fax: |
Provider Mailing Location
PO BOX 5074
SIOUX FALLS
SD
571175074
Provider Mailing Phone/Fax
| Phone: | 7012342525 |
| Fax: |