Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jacqueline Elizabeth Smith, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1538544218

Mrs. Jacqueline Elizabeth Smith, AGPCNP-BC is a Nurse Practitioner in Southfield, Michigan. Qualified in 2015, 11 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
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Practice location Address checks out

29877 Telegraph Rd Ste 401
Southfield, MI 48034-1332
Phone: (248) 651-8344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704236096 (MI)

Record details

NPI number1538544218
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedJuly 23, 2015
Last updated in NPPESSeptember 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Southfield