Smith, Nicole

Smith, Nicole is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Nicole can be contacted via phone (541) 388-4333.

Contact Information

Primary practice address
2500 Ne Neff Rd Bend OR 97701-6015
Phone: (541) 388-4333
Fax: (541) 388-3446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201905762NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5008394 North Carolina

Profile Details

NPI number 1568822864
LBN Legal business name Smith, Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2016
Last updated Apr 3rd, 2026 - about 6 months 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 1568822864 NPPES
Oregon MEDICAID 500788384

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