NPI 1043190523

Nichols James Smith, CRSS

Practitioner Peer Specialist Jacksonville, FL

Practice location

Address: 555 Stockton St, Jacksonville, FL 32204-2534
Phone: (904) 387-4661

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1043190523
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2025
Record last updated: 4 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.