Provider Demographics
NPI:1477957058
Name:SMEARSOLL, JANNIFER LYNNE (CNP)
Entity Type:Individual
Prefix:MS
First Name:JANNIFER
Middle Name:LYNNE
Last Name:SMEARSOLL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7383 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43044-9669
Mailing Address - Country:US
Mailing Address - Phone:937-207-0656
Mailing Address - Fax:
Practice Address - Street 1:1425 STATE ROUTE 142 NE
Practice Address - Street 2:JM 7 -050
Practice Address - City:WEST JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:43162-9647
Practice Address - Country:US
Practice Address - Phone:614-424-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 15955-NP363LX0106X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health