Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer R Smith, FNP

Individual provider Family Nurse Practitioner · NPI 1780354217

Jennifer R Smith, FNP is a Nurse Practitioner in Moselle, Mississippi. Qualified in 2021, 5 years ago. Practices with Grayson Creek Medical Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

3 John Everett Rd
Moselle, MS 39459-9771
Phone: (601) 620-9991
Fax: (601) 620-7487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904856 (MS)

Record details

NPI number1780354217
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 16, 2021
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grayson Creek Medical Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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