Jackie Smith ARNP
Nurse Practitioner in Tampa, FL(View on Map)
Full Name
Jackie Smith ARNP
NPI Number
1184671638
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/30/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ARNP1307372
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 1289
1 TAMPA GENERAL CIR
City
Tampa
Tampa
State
FL
FL
Postal Code
33601-1289
33606-3571
Country
US
US
Telephone Number
(813) 844-7968
(813) 844-7968
Identifiers
Identifier
Y086N
307290800
Identifier State
FL
FL
Identifier Issuer
BLUE CROSS BLUE SHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/22/2011