Healthcare Provider Details

I. General information

NPI: 1215626114
Provider Name (Legal Business Name): JANE FRANCES SMITHSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR
OXNARD CA
93036
US

IV. Provider business mailing address

1911 WILLIAMS DR 1911 WILLIAMS DR
OXNARD CA
93036
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-3332
  • Fax:
Mailing address:
  • Phone: 895-981-3332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number416115
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number416115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: