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Johanna Smith, NP
NPI 1326388695 · on the registry since 2013
Practice
- Address
- 410 Hallock Ave
Port Jefferson Station, NY 11776 - Phone
- (631) 642-1100
- Fax
- (631) 642-1190
- Organisation at this address
- Port Jeff Medical Care, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York