Individual provider · Type 1 NPI

Jenna Rae Smith

Nurse Practitioner · Fort Wayne, IN

NPI number 1720838816 Active

Practice location

11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714

Fax (260) 425-5417

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Urology Registered Nurse 163WU0100X28209700A (IN)
Nurse Practitioner Primary 363L00000X71015347A (IN)

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 1720838816

Jenna Rae Smith's National Provider Identifier is 1720838816, issued on Mar 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 3, 2024.