CELESTINE DEMETRICH SMITH ARNP NPI 1134492291

NPI Information

Celestine Demetrich Smith, ARNP is a family nurse practitioner in Jacksonville, FL. Celestine Demetrich Smith, ARNP NPI is 1134492291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

580 W 8TH ST
UFJP - DEPT, OF NEUROSURGERY
JACKSONVILLE, FL
ZIP 32209-533
Phone: (904) 244-3950
Fax: (904) 244-9437

The NPI 1134492291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2012 and was last updated on 8/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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