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January Smith
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1942719729

January Smith is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. January Smith practices in Philadelphia, PA. The NPI Number for January Smith is 1942719729 and holds a License No. SP017673 (Pennsylvania).

The current practice location address for January Smith is 1200 W Tabor Rd, Philadelphia, PA and can be reached out via phone at 215-456-9800.

Location: 1200 W Tabor Rd, Philadelphia, PA, 19138-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942719729
Provider Name
January Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 W Tabor Rd, Philadelphia, PA, 19138-1715
Phone Number
215-456-9800
Fax Number
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 W Tabor Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3019
Phone Number
215-456-9800
Fax Number
person
Provider Business Mailing Address Details
Address
1200 W Tabor Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3019
Phone Number
215-456-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP017673 (Pennsylvania)
Definition
Definition to come...
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