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

MS. Jackalynn Therese Smith, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1194575266

MS. Jackalynn Therese Smith, FNP-BC is a Nurse Practitioner in Henderson, Nevada. Qualified in 2023, 3 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1397 Galleria Dr
Henderson, NV 89014-6661
Phone: (702) 436-5800
Fax: (702) 436-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 816978 (NV)

Record details

NPI number1194575266
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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