MEDICARE: CARRIE A SMITH CNM

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
1	367A00000X	Advanced Practice Midwife	APRN11010643	FL
2	163WL0100X	Lactation Consultant (Registered Nurse)	L-317355	FL

General Provider Information

NPI Number	:	1336871516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE A SMITH CNM

Provider Business Mailing Address
First Line	:	655 W 8TH ST FL CENTER3
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-383-1037
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 W 8TH ST FL CENTER3
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-383-1037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	03/17/2026

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Directions to “ CARRIE A SMITH CNM” Practice Location

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