Individual
MRS. BILLI JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8131 MCCAMBIGE DRIVE, CICERO NY, NY 13039
(719) 459-1514
Mailing address
3840 NY-31, CLAY, NY 13090-9010
(315) 715-6319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
812686
NY
363LF0000X
Family Nurse Practitioner
Primary
347528
NY
Other
Enumeration date
08/28/2013
Last updated
01/12/2024
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