MEDICARE: MS. SANDRA L SMITH APRN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.08269	OH
2	363LF0000X	Family Nurse Practitioner	COA.08269-NP	OH
3	363LP2300X	Primary Care Nurse Practitioner	COA.08269-NP	OH
4	363LP2300X	Primary Care Nurse Practitioner	ARNP9477015	FL
5	363LF0000X	Family Nurse Practitioner	ARNP9477015	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356342984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA L SMITH APRN, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 20
Second Line	:
City	:	GERMANTOWN
State	:	OH
Zip	:	45327-0020
Country	:	US
Telephone Number	:	727-426-0826
Fax Number	:

Provider Business Practice Location Address
First Line	:	4348 SOUTHPOINT BLVD STE 100
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-0903
Country	:	US
Telephone Number	:	904-281-1915
Fax Number	:

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	10/06/2022

Similar Medicare Providers

1295755833 — MS. CHERRON MICHELLE JOHNSON CRNA
Practice Location Address:

4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL
32216-0903

Practice Phone: 904-281-1915
Practice Fax: 904-281-1119

1629181110 — RONNIE G GLADDEN FNP
Practice Location Address:

4348 SOUTHPOINT BLVD , SUITE 100
JACKSONVILLE, FL
32216-0903

Practice Phone: 904-281-1915
Practice Fax: 904-281-1119

1629146915 — DR. CARRIE GILLIAM BAKER M.D.
Practice Location Address:

4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL
32216-0903

Practice Phone: 904-281-1915
Practice Fax:

1871640250 — BILLIE J RUSSELL ARNP
Practice Location Address:

4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL
32216-0903

Practice Phone: 248-434-6169
Practice Fax:

1780735050 — DR. MICHAEL JOSEPH BAGLINO D.O.
Practice Location Address:

4348 SOUTHPOINT BLVD , SUITE 100
JACKSONVILLE, FL
32216-0903

Practice Phone: 904-281-1915
Practice Fax: 904-281-1119

1558488072 — ROBERT MARKHAM LANCASTER APRN
Practice Location Address:

4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL
32216-0903

Practice Phone: 904-281-1915
Practice Fax: 904-281-1119

Directions to “ MS. SANDRA L SMITH APRN, FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.