MARGUERITE JEAN SMITH ANP NPI 1417931395

NPI Information

NPI: 1417931395
Provider Name: MARGUERITE JEAN SMITH, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
33 N CENTRAL AVE
SUITE 425
MEDFORD, OR
ZIP 97501
Phone: (541) 779-5877
Get Directions

Marguerite Jean Smith, ANP is an adult health nurse practitioner in Medford, OR. Marguerite Jean Smith, ANP NPI is 1417931395. 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:

33 N CENTRAL AVE
SUITE 425
MEDFORD, OR
ZIP 97501-900
Phone: (541) 779-5877
Fax: (541) 664-3287

The enumeration date for this NPI number is 12/3/2005 and was last updated on 3/19/2008.

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	363LA2200X	Nurse Practitioner	Adult Health	79042695	OREGON	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S57474	MEDICARE UPIN	OREGON
2	135092	MEDICARE ID-TYPE UNSPECIFIED	OREGON
3	276809	MEDICAID	OREGON

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: 11/14/2023

NPI Synchronization or Removal

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