| Julie Smith, | |
| 
					150 Memorial Dr, Kingwood, WV 26537-1141  | |
| (304) 329-1400 | |
| Not Available | 
| Full Name | Julie Smith | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 150 Memorial Dr, Kingwood, West Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184313140 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 102053 (West Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 117186 (West Virginia) | Primary | 
| Entity Name | Preston Memorial Hospital Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Julie Smith, 428 Morgantown St, Kingwood, WV 26537-1140 Ph: (304) 329-0256  | Julie Smith, 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-1400  | 
Brooklyn Jo Ayersman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Morgantown St, Kingwood, WV 26537 Phone: 304-329-0555  | |
Tracy Underwood, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1343 N Preston Hwy, Kingwood, WV 26537 Phone: 304-441-2001  | |
Courtney Layton, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 Morgantown St, Kingwood, WV 26537 Phone: 304-329-0256 Fax: 304-329-0733  | |
Mrs. Debra D Miller-fike, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Price St, Kingwood, WV 26537 Phone: 304-329-3500 Fax: 304-329-2088  | |
Heather Lynn Reckart, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N Price St, Kingwood, WV 26537 Phone: 304-329-3500 Fax: 304-329-2088  | |
Mrs. Courtni Lee Dewitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-288-4376  | |
Crystal A Nestor, WHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-4701  |