Individual provider · Type 1 NPI

Glennena Haynes-Smith

Primary Care Nurse Practitioner · East Orange, NJ

NPI number 1427294586 Active

Practice location

385 Tremont Ave
East Orange, NJ 07018-1023

Mailing address

32 S Orange Ave
Newark, NJ 07103-3081

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X26NN07846800 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1427294586

Glennena Haynes-Smith's National Provider Identifier is 1427294586, issued on Dec 19, 2008. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in East Orange, NJ. The record was last updated on Dec 19, 2008.