Individual provider · Type 1 NPI
Tennyson Antonio Smith
Family Nurse Practitioner · Staten Island, NY
NPI number
1245028729
Active
Practice location
24 Parkview Loop
Staten Island, NY 10314-1661
Fax (917) 293-0146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 353561 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245028729
Tennyson Antonio Smith's National Provider Identifier is 1245028729, issued on Apr 25, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 25, 2025.