person
Ms. Susan Spivock Smith, CRNP
Gerontology Nurse Practitioner in Camp Lejeune, North Carolina
NPI 1336144252

Susan Spivock Smith is a Gerontology Nurse Practitioner based in Camp Lejeune, NC and is specialized in Gerontology. Susan Spivock Smith practices in Camp Lejeune, NC and has the professional credentials of CRNP. The NPI Number for Susan Spivock Smith is 1336144252 and holds a License No. R108147 (North Carolina).

The current practice location address for Susan Spivock Smith is 100 Brewster Blvd, Camp Lejeune, NC and can be reached out via phone at 910-450-4159 and via fax at 910-450-4194.

Location: 100 Brewster Blvd, Camp Lejeune, NC, 28548-2538
person
Provider Profile Details
NPI Number
1336144252
Provider Name
Susan Spivock Smith
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
100 Brewster Blvd, Camp Lejeune, NC, 28548-2538
Phone Number
910-450-4159
Fax Number
910-450-4194
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
553211600 05 MD
institution
Provider Business Practice Location Address Details
Address
100 Brewster Blvd
City
State
Zip
28548-2538
Phone Number
910-450-4159
Fax Number
910-450-4194
person
Provider Business Mailing Address Details
Address
100 Brewster Blvd
City
State
Zip
28548-2538
Phone Number
910-450-4159
Fax Number
910-450-4194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R108147 (Maryland)
Definition
Definition to come...
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