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

Mr. Jerry Dupree Smith

Individual provider Licensed Vocational Nurse · NPI 1952111668

Mr. Jerry Dupree Smith is a Licensed Vocational Nurse in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8686
Show map & directions

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

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 42177 (CA)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 722711 (CA)

Record details

NPI number1952111668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

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