Nicole Elizabeth Smith, APN
Nurse Practitioner, Family in Neptune, NJ. Individual provider (NPI-1).
NPI number1013590876
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1013590876
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Elizabeth Smith
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ01097600 | NJ | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 26nj01097600 | NJ |
Practice location
1945 Nj-33Jsumc-Inpatient Wound Care
Neptune, NJ 07753
Phone 732-776-4680 · Fax 732-776-4337
Mailing address
331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
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