GWEN PATRICIA SMITH AGPCNP-BC NPI 1366988149

NPI Information

NPI: 1366988149
Provider Name: GWEN PATRICIA SMITH, AGPCNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
571 S ALLEN RD
FLAT ROCK, NC
ZIP 28731
Phone: (828) 692-6178
Get Directions

Gwen Patricia Smith, AGPCNP-BC is a gerontology nurse practitioner in Flat Rock, NC. Gwen Patricia Smith, AGPCNP-BC NPI is 1366988149. 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:

571 S ALLEN RD
FLAT ROCK, NC
ZIP 28731-447
Phone: (828) 692-6178
Fax: (828) 692-2365

The NPI 1366988149 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 1/17/2017 and was last updated on 4/12/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	RN222356	GEORGIA	No
2	363LP2300X	Nurse Practitioner	Primary Care	RN222356	GEORGIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	5017945	NORTH CAROLINA	No
4	363LG0600X	Nurse Practitioner	Gerontology	5017945	NORTH CAROLINA	Yes
5	363L00000X	Nurse Practitioner		5017945	NORTH CAROLINA	No
6	363LA2200X	Nurse Practitioner	Adult Health	6017945	NORTH CAROLINA	No
7	363LA2200X	Nurse Practitioner	Adult Health	RN222356	GEORGIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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