Individual provider · Type 1 NPI

Kacey Smith

Nurse Practitioner · Wildwood, FL

NPI number 1104548981 Active

Practice location

300 S Main St Unit 2
Wildwood, FL 34785-4542

Mailing address

21253 S Buckhill Rd
Clermont, FL 34715-9066

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11021601 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104548981

Kacey Smith's National Provider Identifier is 1104548981, issued on Sep 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wildwood, FL. The record was last updated on Nov 11, 2022.