Jackie Smith is a Nurse Practitioner in Tampa, Florida. Jackie Smith practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jackie Smith is 1184671638. The last update date is 2011-09-22.
Jackie Smith's current location address is Po Box 1289, Tampa, Florida. You can contact this provider via phone number 8138447968 and fax number 8138444049. The mailing address for Jackie Smith is Po Box 1289, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Smith |
|---|---|
| Address | Po Box 1289, Tampa, Florida |
| Phone Number | 8138447968 |
| Fax Number | 8138444049 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1184671638 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | Po Box 1289 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336011289 |
| Phone Number | 8138447968 |
| Fax Number | 8138444049 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP1307372 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y086N | FL | BLUE CROSS BLUE SHIELD | |
| 307290800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jackie Smith by the Centers for Medicare & Medicaid Services?
The Jackie Smith has been assigned the NPI (National Provider Identifier) 1184671638 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jackie Smith?
The Jackie Smith is situated at Po Box 1289, in the city of Tampa, state of FL, with the zip code 336011289.
What is Jackie Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackie Smith's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did Jackie Smith receive its 1184671638 assignment?
The Jackie Smith was assigned its 1184671638 on 2006-05-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jackie Smith last refreshed?
The information related to the Jackie Smith, including its address, specialty, and other relevant details, was last updated on 2011-09-22.
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