NPI 1336934561
Jack Smith
Student in an Organized Health Care Education/Training Program · Tupelo, MS
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 1:02 am EDT
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Jack Smith is a health care provider (Student in an Organized Health Care Education/Training Program) in Tupelo, Mississippi with National Provider Identifier (NPI) 1336934561. The NPI was issued on Apr 9, 2025 and the registry record was last updated on Apr 9, 2025.
Registry record
- NPI
- 1336934561
- Type
- Individual (NPI-1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice location
- 830 S Gloster St
Tupelo, MS 38801-4934 - Phone
- (662) 377-3000
- NPI issued
- Apr 9, 2025
- Registry record updated
- Apr 9, 2025
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Student in an Organized Health Care Education/Training Program providers in Mississippi
- Lindsey Fontaine Kent, M.D.Jackson, MS
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.