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NPI Code Detail

MEDICARE: CRYSTAL P SMITH RN

MEDICARE: CRYSTAL P SMITH RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse26NR20982100NJ

General Provider Information

NPI Number : 1548518517
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL P SMITH RN
Provider Business Mailing Address
First Line : 1006 DEER CREEK DR
Second Line :
City : PLAINSBORO
State : NJ
Zip : 08536-3251
Country : US
Telephone Number : 631-748-7654
Fax Number :
Provider Business Practice Location Address
First Line : 10 LEA AVE STE 760
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-3541
Country : US
Telephone Number : 201-526-8484
Fax Number : 615-610-0749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2012
Last Update Date : 02/10/2026

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