Individual provider · Type 1 NPI

Mam Lenna Smith

Gerontology Nurse Practitioner · Bronx, NY

NPI number 1447119706 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Fax (347) 479-1303

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN2326874 (MA)
Gerontology Nurse Practitioner Primary 363LG0600XRN2326874 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1447119706

Mam Lenna Smith's National Provider Identifier is 1447119706, issued on Jan 21, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bronx, NY. The record was last updated on Jan 21, 2026.