Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Ethalee Smith, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1134788383

Samantha Ethalee Smith, APRN, FNP-BC is a Family Nurse Practitioner in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

10739 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256-4839
Phone: (800) 793-7050
Fax: (866) 509-6155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002072 (FL)

Record details

NPI number1134788383
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESDecember 18, 2024
Certification dateDecember 10, 2024

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