Individual provider · Type 1 NPI

Jenna Rose Smith, PA-C

Medical Physician Assistant · Hempstead, NY

NPI number 1124576772 Active

Practice location

540 Fulton Ave
Hempstead, NY 11550-4364

Other practice locations

  • 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 · (718) 577-9172

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X020030-1 (NY)

Medical Physician Assistant: Definition to come...

26 other providers at this address

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About NPI 1124576772

Jenna Rose Smith, PA-C's National Provider Identifier is 1124576772, issued on Sep 12, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hempstead, NY. The record was last updated on Jul 21, 2022.