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NPI Code Detail

MEDICARE: RACHEL JEAN SMITH FNP-C

MEDICARE: RACHEL JEAN SMITH FNP-C
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
1207Q00000XFamily Medicine PhysicianF06170516VA
2363LF0000XFamily Nurse PractitionerAPRN11012116FL

General Provider Information

NPI Number : 1437689239
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL JEAN SMITH FNP-C
Provider Business Mailing Address
First Line : 1138 CHISEL PLOW CHASE
Second Line :
City : LOXAHATCHEE
State : FL
Zip : 33470-2158
Country : US
Telephone Number : 989-529-5796
Fax Number :
Provider Business Practice Location Address
First Line : 10330 NUVISTA AVE
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9365
Country : US
Telephone Number : 872-231-3162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 12/26/2025

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