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NPI Code Detail

MEDICARE: KATE MEREDITH SMITH APRN

MEDICARE: KATE MEREDITH SMITH APRN
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 PractitionerAPRN11035744FL
2363LA2200XAdult Health Nurse PractitionerNP128088MD
3363L00000XNurse PractitionerAPRN11035744FL

General Provider Information

NPI Number : 1861431462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE MEREDITH SMITH APRN
Provider Business Mailing Address
First Line : PO BOX 746636
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6636
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 1325 SAN MARCO BLVD STE 300
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8567
Country : US
Telephone Number : 904-202-4243
Fax Number : 904-390-7415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 06/04/2025

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