Provider Demographics
NPI:1578967618
Name:SMITH, DORIS ELIZABETH (ARNP)
Entity type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:ELIZABETH
Last Name:SMITH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 LEM TURNER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2758
Mailing Address - Country:US
Mailing Address - Phone:904-539-8200
Mailing Address - Fax:
Practice Address - Street 1:8000 LEM TURNER RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2758
Practice Address - Country:US
Practice Address - Phone:904-539-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9310951363LA2200X, 363LG0600X, 363LA2200X
AL3-001912363LA2200X
TX1169468363LA2200X
AR231742363LA2200X
MS907185363LA2200X
OH0037318363LA2200X
TN37730363LA2200X
IL209032061363LA2200X
NC5022041363LA2200X
PASP032784363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014216100Medicaid
FLP01566401Medicare PIN
FLIB236ZMedicare PIN