Individual
PAULA KIM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CWHNP
Contact information
Practice address
3 SHIRCLIFF WAY, STE 200 DILLON BLDG, JACKSONVILLE, FL 32204-4757
(904) 384-3699
(904) 384-8529
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
RN120829
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP 9348308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007251200
—
FL
Enumeration date
04/21/2006
Last updated
11/12/2015
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