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JACQUELINE J SMITH
NPI 1356120083
Licensed Practical Nurse in Brooklyn, NY

Active since September 22, 2023
592 SHEPHERD AVE, BROOKLYN, NY 11208(718) 825-6212(718) 978-0032 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline J Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE J SMITH (NPI 1356120083) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (339740) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1356120083
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE J SMITH
Location Address592 SHEPHERD AVEBrooklyn, NY 11208-3600
Mailing Address592 Shepherd AveBrooklyn, NY 11208-3600 · (718) 825-6212 · Fax (718) 978-0032
Phone(718) 825-6212
Fax(718) 978-0032
Sole ProprietorYes
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1356120083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 339740
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
592 SHEPHERD AVE, Brooklyn, NY 11208
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Smith's NPI number?

The NPI number for Jacqueline Smith is 1356120083. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Jacqueline Smith located?

Jacqueline Smith practices at 592 Shepherd Ave, Brooklyn, NY 11208. The listed phone number is (718) 825-6212.

What is Jacqueline Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Smith was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.