Individual
JOANNA P. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Mailing address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011033714
MO
Other
Enumeration date
10/27/2011
Last updated
12/18/2020
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