CELESTINE DEMETRICH SMITH ARNP NPI 1134492291

NPI Information

  • NPI: 1134492291
  • Provider Name: CELESTINE DEMETRICH SMITH, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 580 W 8TH ST
    UFJP - DEPT, OF NEUROSURGERY
    JACKSONVILLE, FL
    ZIP 32209
  • Phone: (904) 244-3950

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyARNP9177923FLORIDAYes

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 Other Provider Identifier Issuer
1FV196YMEDICARE PINFLORIDA
2FV196ZMEDICARE PINFLORIDA
3003121269AMEDICAIDGEORGIA
40045419-00MEDICAIDFLORIDA

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: 11/21/2025

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