Individual provider · Type 1 NPI
Mackenzye Jillian Smith, CRNP
Critical Care Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1730954009
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | SP028630 (PA) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1730954009
Mackenzye Jillian Smith, CRNP's National Provider Identifier is 1730954009, issued on Nov 16, 2023. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 16, 2023.