Individual provider · Type 1 NPI
Celestine Demetrich Smith, ARNP
Family Nurse Practitioner · Jacksonville, FL
NPI number
1134492291
Active
Practice location
580 W 8th St, Ufjp - Dept, Of Neurosurgery
Jacksonville, FL 32209-6533
Fax (904) 244-9437
Mailing address
PO Box 44008, Ufjp - Provider Enrollment
Jacksonville, FL 32231-4008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9177923 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1134492291
Celestine Demetrich Smith, ARNP's National Provider Identifier is 1134492291, issued on Feb 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 9, 2012.