Individual
JEFFREY MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 01655-0002
(508) 334-5500
(774) 442-2883
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2284186
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2284186
MA
363LF0000X
Family Nurse Practitioner
RN2284186
MA
Other
Enumeration date
07/28/2020
Last updated
03/30/2022
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