Individual
NANCY M WILLIS-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, WHNP-BC
Contact information
Practice address
202 E 50TH ST, JOPLIN, MO 64804-4920
(417) 556-3400
Mailing address
202 E 50TH ST, JOPLIN, MO 64804-4920
(417) 556-3400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004328006
—
KS
05
—
428064521
—
MO
Enumeration date
12/16/2005
Last updated
09/15/2020
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