Doctor Name: | JULIE MARIE SMYSER |
NPI Number: | 1619990181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | CP000635 |
Business Practice Address: | 9950 Courthouse Rd Charles City, VA - 230303434 |
Business Phone Number: | 8048296600 |
Business Fax Number: | 8048296182 |
Mailing Address: | 9950 Courthouse Rd, CHARLES CITY |
State: | VA |
Postal Code: | 230303434 |
Phone Number: | 8048296600 |
Fax Number: | 8048296182 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CP000635 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |