Active NPIIndividual providerSole proprietor

Anissa L Smith, FNP-BC

Nurse Practitioner, Family in Sparta, New Jersey

NPI Number1972855401
Practice location
11 Theatre Ctr, Sparta, NJ 07871-2433
Fax
—
Last updated
April 12, 2021

Anissa Leeann Smith is a Nurse Practitioner, Family based in Sparta, NJ. Anissa Leeann Smith practices in Sparta, NJ and has the professional credentials of FNP-BC. The NPI Number for Anissa Leeann Smith is 1972855401 and holds a License No. 26NJ01016700 (NJ). The current practice location address for Anissa Leeann Smith is 11 Theatre Ctr, Sparta, NJ 07871-2433 and can be reached out via phone at 973-726-3219.

Provider Profile Details

NPI Number
1972855401
Provider Name
Anissa Leeann Smith
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
11 Theatre Ctr, Sparta, NJ 07871-2433
Phone Number
973-726-3219
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2012
Last Update Date
April 12, 2021
Certification Date
April 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Theatre Ctr
Sparta, NJ 07871-2433
City
Sparta
Zip
07871-2433
Phone Number
973-726-3219
Sparta, NJ 07871Get directions →

Provider Business Mailing Address Details

Address
11 Theatre Ctr
Sparta, NJ 07871-2433
City
Sparta
State
NJ
Zip
07871-2433

License Information

License Number (1)
26NJ01016700
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
338734
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
16999
License State (3)
TN
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anissa L Smith, FNP-BC?

The NPI number of Anissa L Smith, FNP-BC is 1972855401. It was assigned on October 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Anissa L Smith, FNP-BC?

Anissa L Smith, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01016700.

Where does Anissa L Smith, FNP-BC practice?

The practice location is 11 Theatre Ctr, Sparta, NJ 07871-2433. The office can be reached at 973-726-3219 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972855401 directly on the NPPES registry website.

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