Jene' White Smith, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R864717 Issued in MS

Practice address

1397 Belk Blvd
Oxford, MS 38655-5301

Phone

(662) 236-4675

Fax

(662) 281-0819

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Mississippi Family Medicine Group of Oxford PA

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1063649853
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1073505418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-236-4675",
            "fax_number": "662-281-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-236-4675",
            "fax_number": "662-281-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENE'",
        "middle_name": "WHITE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN10914",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R864717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09058711",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth-Anne Lee Smith, BA
• Elyse Nichole Smith, MD
• Erin Smith, NURSE PRACTITIONER
• Holly Berry Smith, MPT
• Jaden Beth Smith, LMSW
• Jessica Smith
• Katherine Chaffin Smith, CFNP
• Kearra Smith, BSW, PCCSS
• Patty Smith
• Robert Brent Smith, RPH

• Acute Care Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.