Individual
MS. MELISSA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN
Contact information
Practice address
1200 S CHURCH ST STE 18, MOUNT LAUREL, NJ 08054-2936
(856) 639-6500
(856) 329-7827
Mailing address
1200 S CHURCH ST STE 18, MOUNT LAUREL, NJ 08054-2936
(856) 639-6500
(856) 329-7827
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
26NR12116300
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR12116300
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01009500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905976
—
NJ
01
—
1821702564
NPI2
—
Enumeration date
11/15/2010
Last updated
10/21/2024
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