Jennifer Lee Smith
Nurse Practitioner - Adult Health
4900 Oak Street
Berlin
, Ohio 44610-0426
Jennifer Lee Smith
Nurse Practitioner - Adult Health
4900 Oak Street
Berlin
, Ohio 44610-0426
(330) 893-1485
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Jennifer Lee Smith
- Po Box 426
- Berlin, OH
- Zip : 44610-0426
- Fax : (330) 893-1485
- Phone : (330) 893-1318
Second Address
- Jennifer Lee Smith
- 4900 Oak Street
- Berlin, OH
- Zip : 44610-0426
- Fax : (330) 893-1485
- Phone : (330) 893-1318
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | COA10628NP | OH |
National Provider Identifier
| NPI | 1023259603 |
|---|---|
| Provider Name | Jennifer Lee Smith |
| First Address | Berlin, OH 44610-0426 |
| Second Address | Berlin, OH 44610-0426 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2009 |
| Last Update Date | 31/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3003556 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.