MEDICARE: KAREN J. SMEDLEY 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
1	363LF0000X	Family Nurse Practitioner	71004559A	IN

General Provider Information

NPI Number	:	1881039717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN J. SMEDLEY FNP

Provider Business Mailing Address
First Line	:	101 CONNIE AVE
Second Line	:
City	:	SALEM
State	:	IN
Zip	:	47167-2305
Country	:	US
Telephone Number	:	812-404-4235
Fax Number	:	812-404-4236

Provider Business Practice Location Address
First Line	:	101 CONNIE AVE
Second Line	:
City	:	SALEM
State	:	IN
Zip	:	47167-2305
Country	:	US
Telephone Number	:	812-404-4235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	05/01/2024

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