Smith, Jennifer Ann

Smith, Jennifer Ann is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Jennifer Ann can be contacted via phone (813) 870-4000.

Contact Information

Primary practice address
3001 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9232058 Florida

Profile Details

NPI number 1336189257
LBN Legal business name Smith, Jennifer Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336189257 NPPES
Florida MEDICAID 307608300

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