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NPI Code Detail

MEDICARE: MRS. DORIS ELIZABETH SMITH ARNP

MEDICARE:  MRS. DORIS ELIZABETH 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
1363LA2200XAdult Health Nurse PractitionerARNP9310951FL

Other Identifiers

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

General Provider Information

NPI Number : 1578967618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORIS ELIZABETH SMITH ARNP
Provider Business Mailing Address
First Line : 8000 LEM TURNER RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-2758
Country : US
Telephone Number : 904-539-8200
Fax Number :
Provider Business Practice Location Address
First Line : 8000 LEM TURNER RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-2758
Country : US
Telephone Number : 904-539-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 09/24/2025

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