Individual
MS. STACIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2181
(717) 972-4119
Mailing address
233 MCHENRY DR, ATHENS, GA 30606-7826
(410) 404-4987
(706) 850-5721
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
R073596
MD
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
SP008240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107615
JOHNS HOPKINS
PA
01
—
1551725
GATEWAY-WMG
PA
01
—
533656
CAREFIRST MD BCBS
MD
Enumeration date
07/05/2006
Last updated
04/18/2013
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