MRS. MARJORIE SMITH CFNP NPI 1750337598

NPI Information

NPI: 1750337598
Provider Name: MRS. MARJORIE SMITH, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
475 PHILIP BOULEVARD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 995-3307
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MRS. Marjorie Smith, CFNP is a family nurse practitioner in Lawrenceville, GA. MRS. Marjorie Smith, CFNP NPI is 1750337598. 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:

475 PHILIP BOULEVARD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30045-999
Phone: (770) 995-3307
Fax: (770) 995-3300

The enumeration date for this NPI number is 5/25/2006 and was last updated on 12/10/2010.

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	363LF0000X	Nurse Practitioner	Family	RN192533NP	GEORGIA	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	S60686	MEDICARE UPIN	GEORGIA
2	439457490A	MEDICAID	GEORGIA
3	GRP1806	MEDICARE PIN	GEORGIA
4	511I500053	MEDICARE PIN	GEORGIA
5	061407	OTHER	GEORGIA	BC/BS OF GA GROUP #

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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