Individual provider · Type 1 NPI

Jacqueline Smith, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1629163233 Active

Practice location

3400 Spruce Street, 15 Penn Tower
Philadelphia, PA 19104

Mailing address

3624 Market Street, Suite 560W
Philadelphia, PA 19104

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP008387 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629163233

Jacqueline Smith, CRNP's National Provider Identifier is 1629163233, issued on Oct 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 26, 2014.