National Provider Identifier
Rebecca Jean Smouse, FNP
Rebecca Jean Smouse, FNP is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Jamestown, NY and a listed phone number of (716) 450-7672.
Profile Overview
- NPI
- 1356940084
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 23, 2020
- Last Updated
- October 23, 2020
Practice Location
- 1107 Prendergast Ave
- Jamestown, NY 14701-3315
Phone: (716) 450-7672
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- Jamestown
Soap Url | Jamestown, NY 14701
Full Record
- NPI
- 1356940084
- Entity Type
- Individual
- Last Name
- Smouse
- First Name
- Rebecca
- Middle Name
- Jean
- Credential
- FNP
- Mailing Street Address
- 1107 Prendergast Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-3315
- Mailing Country
- US
- Mailing Phone
- (716) 450-7672
- Practice Street Address
- 1107 Prendergast Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-3315
- Practice Country
- US
- Practice Phone
- (716) 450-7672
- Enumeration Date
- October 23, 2020
- Last Updated
- October 23, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)