Provider Demographics
NPI:1326290313
Name:SMITH, JOANNE E (CRNP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2465
Mailing Address - Fax:717-741-3043
Practice Address - Street 1:40 V TWIN DR STE 204
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7878
Practice Address - Country:US
Practice Address - Phone:717-339-2424
Practice Address - Fax:717-334-6659
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009981363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA226022OtherJOHNS HOPKINS
PA2080992OtherHIGHMARK BLUE SHIELD
PA1578485OtherGATEWAY-WMG
PA226022OtherJOHNS HOPKINS
PA2080992OtherHIGHMARK BLUE SHIELD
PA1578485OtherGATEWAY-WMG
PAP00730835Medicare PIN
PA2080992OtherHIGHMARK BLUE SHIELD
PA138727GVQMedicare PIN