Smith, Julie Renee
Smith, Julie Renee is an individual health care provider with primary practice located at 4318 5Th Ave , Marianna FL 32446-2182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Julie Renee can be contacted via phone (850) 526-5300.Contact Information
Primary practice address
4318 5Th Ave
Marianna FL 32446-2182
Phone: (850) 526-5300
Fax: (850) 482-5021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP3287492 | Florida |
Profile Details
| NPI number | 1053462085 |
|---|---|
| LBN Legal business name | Smith, Julie Renee |
| Credentials | ARNP-C, DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jan 6th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053462085 | NPPES |
| Other | Y04LA | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 307971600 | BLUE CROSS BLUE SHIELD |
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