JENNIFER LYNN SMITH AGACNP-BC NPI 1760115448

NPI Information

NPI: 1760115448
Provider Name: JENNIFER LYNN SMITH, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
29275 NORTHWESTERN HWY STE 100
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 784-3667
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Jennifer Lynn Smith, AGACNP-BC is an acute care nurse practitioner in Southfield, MI. Jennifer Lynn Smith, AGACNP-BC NPI is 1760115448. 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:

29275 NORTHWESTERN HWY STE 100
SOUTHFIELD, MI
ZIP 48034-700
Phone: (248) 784-3667
Fax: (248) 784-3678

The NPI 1760115448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2022 and was last updated on 4/28/2024.

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	363LA2100X	Nurse Practitioner	Acute Care	4704295607	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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