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

Mr. Johnathon Crawford Smith Sr., CLPN

Individual provider Licensed Practical Nurse · NPI 1275718660

Mr. Johnathon Crawford Smith Sr., CLPN is a Licensed Practical Nurse in Mantachie, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2008

Practice location Address checks out

165 Bankhead Rd SW
Mantachie, MS 38855-7267
Phone: (662) 840-1944
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence P231371 (MS)

Record details

NPI number1275718660
Entity typeIndividual (Type 1)
GenderMale
Credentials CLPN
Sole proprietorYes
NPI enumeratedJanuary 3, 2008
Last updated in NPPESJanuary 3, 2008