JERENE S SMITH NPI 1295712750

NPI Information

  • NPI: 1295712750
  • Provider Name: JERENE S SMITH
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 6490 EXCELSIOR BLVD STE E 400
    PARK NICOLLET CLINIC - MEADOWBROOK
    ST LOUIS PARK, MN
    ZIP 55426
  • Phone: (952) 993-3123

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NPI Details

Jerene S Smith is a technician other in St Louis Park, MN. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Jerene S Smith NPI is 1295712750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6490 EXCELSIOR BLVD STE E 400
PARK NICOLLET CLINIC - MEADOWBROOK
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 993-3123

The enumeration date for this NPI number is 12/27/2005 and was last updated on 7/8/2007.

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
1247200000XTechnician, OtherYes

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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