National Provider Identifier Database

JESSICA L SMITH, RN – NPI #1053011775
Gerontology


Contact Information

JESSICA L SMITH, RN
5501 OLD YORK RD
PHILADELPHIA, PA19141-3018
Phone: 215-456-7014
Fax:
Website:
Specialty Taxonomy Code
* Gerontology 364SG0600X

* Indicates primary specialty

NPI Profile & details for JESSICA L SMITH

NPI Number 1053011775
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/09/2023
Last updated 03/09/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: RN585570
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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