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MACKENZYE JILLIAN SMITH CRNP
NPI 1730954009
Nurse Practitioner - Pediatrics, Critical Care in Philadelphia, PA

Active since November 16, 2023
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(800) 879-2467 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mackenzye Jillian Smith Crnp NPPES

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

MACKENZYE JILLIAN SMITH CRNP (NPI 1730954009) is an individual pediatrics, critical care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP028630) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1730954009
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMACKENZYE JILLIAN SMITHCredential: CRNP
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (949) 910-2563
Phone(800) 879-2467
Sole ProprietorYes
Enumeration DateNovember 16, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1730954009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in PA · SP028630
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Mackenzye Smith's NPI number?

The NPI number for Mackenzye Smith is 1730954009. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Where is Mackenzye Smith located?

Mackenzye Smith practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (800) 879-2467.

What is Mackenzye Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

When was this NPI record last updated?

The NPPES record for Mackenzye Smith was last updated on November 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.