MEDICARE: JOYCE ELAINE SMITH ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP556922	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

General Provider Information

NPI Number	:	1437103728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE ELAINE SMITH ARNP

Provider Business Mailing Address
First Line	:	10210 THICKET POINT WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647
Country	:	US
Telephone Number	:	813-406-5634
Fax Number	:	813-406-5635

Provider Business Practice Location Address
First Line	:	3010 W AZEELE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3139
Country	:	US
Telephone Number	:	813-597-5914
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/02/2012

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