National Provider Identifier
Daniel Jackson Smith, PHD, AGPCNP-BC, CNE
Daniel Jackson Smith, PHD, AGPCNP-BC, CNE is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 919-6870.
Profile Overview
- NPI
- 1902556848
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- March 24, 2022
- Last Updated
- October 04, 2024
Practice Location
- 100 E Tupper St
- Buffalo, NY 14203-1315
Phone: (716) 919-6870
Specialties
- Nurse Practitioner (363L00000X)
- Nurse Practitioner (363L00000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1902556848
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Daniel
- Middle Name
- Jackson
- Name Prefix
- Dr.
- Credential
- PHD, AGPCNP-BC, CNE
- Mailing Street Address
- 100 E Tupper St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1315
- Mailing Country
- US
- Practice Street Address
- 100 E Tupper St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1315
- Practice Country
- US
- Practice Phone
- (716) 919-6870
- Enumeration Date
- March 24, 2022
- Last Updated
- October 04, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Nurse Practitioner (363L00000X), Registered Nurse (163W00000X)