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NPI Code Detail

MEDICARE: CAROLEE JAYNE SMITH APRN,NP-FAMILY

MEDICARE: CAROLEE JAYNE SMITH APRN,NP-FAMILY
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
1363LF0000XFamily Nurse Practitioner053465-23NH

General Provider Information

NPI Number : 1013481852
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLEE JAYNE SMITH APRN,NP-FAMILY
Provider Business Mailing Address
First Line : 80 ROUTE 125
Second Line :
City : KINGSTON
State : NH
Zip : 03848-3535
Country : US
Telephone Number : 603-642-6700
Fax Number :
Provider Business Practice Location Address
First Line : 80 ROUTE 125
Second Line :
City : KINGSTON
State : NH
Zip : 03848-3535
Country : US
Telephone Number : 603-642-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/16/2019

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