Smith, Jennifer S

Smith, Jennifer S is an individual health care provider with primary practice located at 4300 Londonderry Rd , Harrisburg PA 17109-5317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Jennifer S can be contacted via phone (717) 231-8772.

Contact Information

Primary practice address
4300 Londonderry Rd Harrisburg PA 17109-5317
Fax: (717) 231-8435
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP016978 Pennsylvania

Profile Details

NPI number 1841730512
LBN Legal business name Smith, Jennifer S
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2017
Last updated Dec 12th, 2020 - about 6 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 1841730512 NPPES
Pennsylvania MEDICAID 103277818

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