Smith, Charnequa D

Smith, Charnequa D is an individual health care provider with primary practice located at 1150 45Th St , West Palm Beach FL 33407-2361. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Smith, Charnequa D can be contacted via phone (561) 514-5300.

Contact Information

Primary practice address
1150 45Th St West Palm Beach FL 33407-2361
Phone: (561) 514-5300
Fax: (561) 514-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP9354194 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9354194 Florida

Profile Details

NPI number 1982040663
LBN Legal business name Smith, Charnequa D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Aug 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982040663 NPPES
Florida MEDICAID 00892400

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