Healthcare Provider Details

I. General information

NPI: 1326290313
Provider Name (Legal Business Name): JOANNE E SMITH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 V TWIN DR STE 204
GETTYSBURG PA
17325-7878
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-339-2424
  • Fax: 717-334-6659
Mailing address:
  • Phone: 717-851-2465
  • Fax: 717-741-3043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP009981
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP009981
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: