Jennifer Rebecca Smith

Individual provider Active NPI Nurse's Aide · Duncan, OK

NPI 1982594552 · NPPES record last updated Aug 5, 2025

Key facts

NPI
1982594552
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
37V905751109 (OK)
Practice address
1530 W Main St
Duncan, OK 73533-4333
Phone
(580) 255-3926
Fax
(580) 205-0900
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37V905751109OKMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Community Residence, Inc Past
since Jul 13, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 37V905751109 OK Yes

Addresses

Primary practice location

1530 W Main St
Duncan, OK 73533-4333

Mailing address

PO Box 1474
Duncan, OK 73534-1474
Phone (580) 255-3926

Other providers in Duncan, OK

All providers in Duncan, OK · Nurse's Aide in Oklahoma

Sources for this page

Verify at the official NPI Registry.