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NPI Code Detail

MEDICARE: DR. OLIVIA S. SMITH DNP - FNP

MEDICARE: DR. OLIVIA S. SMITH DNP - 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
1363LF0000XFamily Nurse Practitioner2025043147NC

General Provider Information

NPI Number : 1639032592
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVIA S. SMITH DNP - FNP
Provider Business Mailing Address
First Line : 7201 LISERIN WOODS LN
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-5885
Country : US
Telephone Number : 910-523-1526
Fax Number :
Provider Business Practice Location Address
First Line : 2420 LAKE WHEELER RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-2614
Country : US
Telephone Number : 919-755-0226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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