Individual
ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2330
Mailing address
PO BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
ARNP9273108
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP9273108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144933B
—
GA
05
—
010790300
—
FL
Enumeration date
03/20/2014
Last updated
11/10/2015
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