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General NPI Number Information
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NPI Number | 1588290035
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Entity Type | Individual
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Provider Name | JEFFREY ALLEN SMITH PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 762 GARNET WAY
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City | FERNLEY
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State | NV
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Zip | 89408-8446
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Country | US
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Telephone | 619-279-3457
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Fax |
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Provider Business Mailing Address
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Address Line | 10774 BARREL HORSE LN
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City | RENO
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State | NV
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Zip | 89521-4564
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Country | US
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Telephone | 619-279-3457
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 834589
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 9453922
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11006861
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License Number State | FL
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