National Provider Identifier

Jason Joseph Smith, NP

Jason Joseph Smith, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Penfield, NY and a listed phone number of (585) 456-9148.

NPI 1447874250Penfield, NYFamily Nurse Practitioner

Profile Overview

NPI
1447874250
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 08, 2020
Last Updated
June 08, 2020

Practice Location

  • 60 Meadowlark Dr
  • Penfield, NY 14526-2036

Phone: (585) 456-9148

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1447874250
Entity Type
Individual
Last Name
Smith
First Name
Jason
Middle Name
Joseph
Credential
NP
Mailing Street Address
60 Meadowlark Dr
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2036
Mailing Country
US
Mailing Phone
(585) 456-9148
Practice Street Address
60 Meadowlark Dr
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2036
Practice Country
US
Practice Phone
(585) 456-9148
Enumeration Date
June 08, 2020
Last Updated
June 08, 2020
Sex
Male
Sole Proprietor
No
Certification Date
June 08, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)