STEFANIE SMITH TATE NPI 1245621705

NPI Information

NPI: 1245621705
Provider Name: STEFANIE SMITH TATE
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
550 PROFESSIONAL DR
MACON, GA
ZIP 31201
Phone: (478) 741-3007
Get Directions

Stefanie Smith Tate is a pediatrics nurse practitioner in Macon, GA. Stefanie Smith Tate NPI is 1245621705. 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:

550 PROFESSIONAL DR
MACON, GA
ZIP 31201-411
Phone: (478) 741-3007
Fax: (478) 330-6288

The enumeration date for this NPI number is 2/5/2015 and was last updated on 2/5/2015.

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	363LP0200X	Nurse Practitioner	Pediatrics	RN183587	GEORGIA	Yes

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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