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NPI Code Detail

MEDICARE: ASHLEY SMITH

MEDICARE: ASHLEY SMITH
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
1363L00000XNurse Practitioner1034374TX

General Provider Information

NPI Number : 1760315592
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SMITH
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 120
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6921
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Provider Business Practice Location Address
First Line : 11800 ASTORIA BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6041
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ASHLEY SMITH ” Practice Location

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