Provider Demographics
NPI:1922250802
Name:SMITH, JULIANNE MARIE (RN; FNP)
Entity Type:Individual
Prefix:MISS
First Name:JULIANNE
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN; FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:45 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-941-2000
Mailing Address - Fax:631-941-2010
Practice Address - Street 1:45 RESEARCH WAY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-6401
Practice Address - Country:US
Practice Address - Phone:631-941-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY551182163W00000X
NYF-331186363LF0000X
NY335586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse