Jill R Smith in Bloomington - Nurse Practitioner
Jill R Smith - NPI 1164427076
Jill R Smith is a Nurse Practitioner in Bloomington, Indiana. Jill R Smith practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jill R Smith is 1164427076. The last update date is 2010-09-16.
Jill R Smith's current location address is 550 S Landmark Ave, Bloomington, Indiana. You can contact this provider via phone number 8123313402 and fax number 8123556549. The mailing address for Jill R Smith is 550 S Landmark Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill R Smith |
|---|---|
| Address | 550 S Landmark Ave, Bloomington, Indiana |
| Phone Number | 8123313402 |
| Fax Number | 8123556549 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1164427076 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2010-09-16 |
Provider Mailing Address Detail
| Address | 550 S Landmark Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 4740332390 |
| Phone Number | 8123313402 |
| Fax Number | 8123556549 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71001392A |
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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 |
|---|---|---|---|
| 200395770 | IN | -- |
Post Comment/ Review Below
What is the Jill R Smith's 1164427076?
The Jill R Smith's NPI (National Provider Identifier) Number is 1164427076. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jill R Smith is geographically located?
The Jill R Smith is physically situated at the following location: 550 S Landmark Ave, Bloomington, IN, 4740332390.
What is Jill R Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jill R Smith is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Jill R Smith receive its 1164427076 assignment from the Centers for Medicare & Medicaid Services?
The Jill R Smith was assigned its 1164427076 by the Centers for Medicare & Medicaid Services on 2005-06-16.
As of what date were the details related to Jill R Smith most recently updated or revised?
The information pertaining to Jill R Smith, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-16.
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