Smith, Nicole Christina

Smith, Nicole Christina is an individual health care provider with primary practice located at 300 Health Park Blvd Ste 3002 , St Augustine FL 32086-3703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Smith, Nicole Christina can be contacted via phone (937) 802-7771.

Contact Information

Primary practice address
300 Health Park Blvd Ste 3002 St Augustine FL 32086-3703
Phone: (937) 802-7771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN11019008 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11019008 Florida

Profile Details

NPI number 1932712288
LBN Legal business name Smith, Nicole Christina
Credentials APRN-CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Feb 5th, 2024 - about 2 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 1932712288 NPPES
Indiana Other 236040352 MEDICARE PTAN
Indiana MEDICAID 300045317 MEDICARE PTAN

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