NPI 1053011775

Jessica Lynne Smith, RN

Practitioner Gerontology Clinical Nurse Specialist Philadelphia, PA

Practice location

Address: 5501 Old York Rd, Philadelphia, PA 19141-3018
Phone: (215) 456-7014
Mailing address: 21 Butternut Dr, Hatboro, PA 19040-1513

Registered specialties

Gerontology Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence RN585570 (PA)

Other Clinical Nurse Specialist providers in Pennsylvania →

Registry record

NPI: 1053011775
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2023
Record last updated: 9 Mar 2023

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.