JENNIFER E SMITH A.R.N.P. NPI 1720052426

NPI Information

NPI: 1720052426
Provider Name: JENNIFER E SMITH, A.R.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
55 W TIETAN ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-3720
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Jennifer E Smith, A.R.N.P. is an adult health nurse practitioner in Walla Walla, WA. Jennifer E Smith, A.R.N.P. NPI is 1720052426. 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:

55 W TIETAN ST
WALLA WALLA, WA
ZIP 99362-445
Phone: (509) 525-3720
Fax: (509) 522-1592

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/27/2007.

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
1	363LA2200X	Nurse Practitioner	Adult Health	AP30001837	WASHINGTON	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	Other Provider Identifier Issuer
1	R70901	MEDICARE UPIN	WASHINGTON
2	9607623	MEDICAID	WASHINGTON
3	116298	MEDICAID	OREGON
4	50733	OTHER	WASHINGTON	L&I
5	G1346660	MEDICARE PIN	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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