Individual
JAMIE MEGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
426 N JACKSON ST, MEDIA, PA 19063-2815
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021921
PA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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