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NPI Code Detail

MEDICARE: JENNIFER HELMER SMITH RN

MEDICARE:   JENNIFER HELMER SMITH  RN
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
1163WH0200XHome Health Registered Nurse490581NY

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 : 1790813004
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HELMER SMITH RN
Provider Business Mailing Address
First Line : 5016 FOREST AVE
Second Line :
City : ONEIDA
State : NY
Zip : 13421-9817
Country : US
Telephone Number : 315-366-9835
Fax Number :
Provider Business Practice Location Address
First Line : 5016 FOREST AVE
Second Line :
City : ONEIDA
State : NY
Zip : 13421-9817
Country : US
Telephone Number : 315-366-9835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/09/2007

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