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Individual
JENNIFER ROMAINE SMITH
Active
Individual
JENNIFER ROMAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
701898
NY
163WH0200X
Home Health Registered Nurse
Primary
701898
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
701898
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
701898
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
701898
NY
Other
Enumeration date
08/27/2018
Last updated
11/08/2021
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