MS. JUDITH SADIAN SMITH-JACKSON RN NPI 1033475637

NPI Information

NPI: 1033475637
Provider Name: MS. JUDITH SADIAN SMITH-JACKSON, RN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
546B BUCHANAN AVE
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 782-0589
Get Directions

MS. Judith Sadian Smith-jackson, RN is a medical-surgical registered nurse in Staten Island, NY. MS. Judith Sadian Smith-jackson, RN NPI is 1033475637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

546B BUCHANAN AVE
STATEN ISLAND, NY
ZIP 10314-159
Phone: (718) 782-0589
Fax: (718) 384-7715

The enumeration date for this NPI number is 4/9/2012 and was last updated on 4/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		517231-1	NEW YORK	No
2	163WC1500X	Registered Nurse	Community Health	517231-1	NEW YORK	No
3	163WM0705X	Registered Nurse	Medical-Surgical	517231-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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