Individual provider · Type 1 NPI

Johanna M. Smith, NP

Adult Health Nurse Practitioner · Port Jefferson Station, NY

NPI number 1326388695 Active

Practice location

410 Hallock Ave
Port Jefferson Station, NY 11776-1232

Call (631) 642-1100 Map

Fax (631) 642-1190

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042-1113

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X306296 (NY)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1326388695

Johanna M. Smith, NP's National Provider Identifier is 1326388695, issued on Feb 25, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 25, 2013.