person
Johanna M Smith, NP
Adult Health Nurse Practitioner in Port Jefferson Station, New York
NPI 1326388695

Johanna M Smith is an Adult Health Nurse Practitioner based in New Hyde Park, NY and is specialized in Adult Health. Johanna M Smith practices in Port Jefferson Station, NY and has the professional credentials of NP. The NPI Number for Johanna M Smith is 1326388695 and holds a License No. 306296 (New York).

The current practice location address for Johanna M Smith is 410 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-642-1100 and via fax at 631-642-1190.

Location: 410 Hallock Ave, Port Jefferson Station, NY, 11042-1113
person
Provider Profile Details
NPI Number
1326388695
Provider Name
Johanna M Smith
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
410 Hallock Ave, Port Jefferson Station, NY, 11042-1113
Phone Number
631-642-1100
Fax Number
631-642-1190
Provider Enumeration Date
02/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
410 Hallock Ave
City
State
Zip
11776-1232
Phone Number
631-642-1100
Fax Number
631-642-1190
person
Provider Business Mailing Address Details
Address
410 Hallock Ave
City
State
Zip
11776-1232
Phone Number
631-642-1100
Fax Number
631-642-1190
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
306296 (New York)
Definition
Definition to come...
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