Smith, Juanita M

Smith, Juanita M is an individual health care provider with primary practice located at 573 Midwood Dr , Brick NJ 08724-4739. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Smith, Juanita M can be contacted via phone (732) 773-5919.

Contact Information

Primary practice address
573 Midwood Dr Brick NJ 08724-4739
Phone: (732) 773-5919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ01174300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ01174300 New Jersey

Profile Details

NPI number 1558023846
LBN Legal business name Smith, Juanita M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2021
Last updated Oct 13th, 2021 - about 4 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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