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Individual
MS. JENNIFER A SMITH
Active
Individual
MS. JENNIFER A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0079861
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
007986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02343635
—
NY
01
—
1639239221
GROUP
NY
Enumeration date
08/22/2005
Last updated
01/02/2026
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