Smith, Jason

Smith, Jason is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw , Atlanta GA 30309-1285. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Smith, Jason can be contacted via phone (404) 367-3014.

Contact Information

Primary practice address
1968 Peachtree Rd Nw Atlanta GA 30309-1285
Phone: (404) 367-3014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60933179 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP60933179 Washington
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X RN214460 Georgia

Profile Details

NPI number 1962883249
LBN Legal business name Smith, Jason
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated May 13th, 2022 - about 2 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 1962883249 NPPES
Washington MEDICAID 1962883249

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