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NPI Code Detail

MEDICARE: MONICA JILLYN SMART RN, FNP

MEDICARE: MONICA JILLYN SMART RN, FNP
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
1163W00000XRegistered Nurse743191CA
2363LF0000XFamily Nurse Practitioner95000351CA

General Provider Information

NPI Number : 1477979383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA JILLYN SMART RN, FNP
Provider Business Mailing Address
First Line : 10969 GOLF LINKS RD
Second Line :
City : OAKLAND
State : CA
Zip : 94605-5617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2228
Country : US
Telephone Number : 510-535-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2014
Last Update Date : 03/16/2014

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Directions to “ MONICA JILLYN SMART RN, FNP” Practice Location

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