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NPI Code Detail

MEDICARE: JORDAN RACHEL SMITH MSN

MEDICARE: JORDAN RACHEL SMITH MSN
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 Practitioner0024185057VA
2363LF0000XFamily Nurse PractitionerAPRN11037774FL
3363LF0000XFamily Nurse Practitioner53-85160-071KS

General Provider Information

NPI Number : 1841913407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN RACHEL SMITH MSN
Provider Business Mailing Address
First Line : 3204 HANGING VINE CT
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-6761
Country : US
Telephone Number : 469-328-6957
Fax Number :
Provider Business Practice Location Address
First Line : 3301 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2931
Country : US
Telephone Number : 813-925-1903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2022
Last Update Date : 01/13/2026

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