Individual
JENNIFER S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 231-8772
(717) 231-8435
Mailing address
409 S 2ND ST, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016978
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103277818
—
PA
Enumeration date
03/01/2017
Last updated
12/12/2020
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