Individual
CAITLYN TENNILE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1051 OLD FARM RD E, MEXICO, MO 65265-4200
(573) 581-2455
Mailing address
1051 OLD FARM RD E, MEXICO, MO 65265-4200
(573) 581-2455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026003647
MO
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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