Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna Rose Smith, PA-C

Individual provider Medical Physician Assistant · NPI 1124576772

Jenna Rose Smith, PA-C is a Medical Physician Assistant in Hempstead, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

540 Fulton Ave
Hempstead, NY 11550-4364
Phone: (516) 750-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12510 Queens Blvd, Kew Gardens, NY 11415-1519 — (718) 577-9172

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 020030-1 (NY)

Record details

NPI number1124576772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2016
Last updated in NPPESJuly 21, 2022

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