MACKENZYE JILLIAN SMITH CRNP NPI 1730954009

NPI Information

  • NPI: 1730954009
  • Provider Name: MACKENZYE JILLIAN SMITH, CRNP
  • Classification: Nurse Practitioner - 363LP0222X
  • Specialization: Pediatrics, Critical Care
  • Entity Type: Individual
  • Address: 3401 CIVIC CENTER BLVD
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (800) 879-2467

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NPI Details

Mackenzye Jillian Smith, CRNP is a pediatrics and critical care nurse practitioner in Philadelphia, PA. Mackenzye Jillian Smith, CRNP NPI is 1730954009. 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:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104-319
Phone: (800) 879-2467

The enumeration date for this NPI number is 11/16/2023 and was last updated on 11/16/2023.

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
1363LP0222XNurse PractitionerPediatrics, Critical CareSP028630PENNSYLVANIAYes

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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