Individual
ILIA JAMILA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, WHNP-BC
Contact information
Practice address
2922B MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2321
(214) 426-3645
Mailing address
2922B MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2321
(214) 426-3645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
871226
TX
363LW0102X
Women's Health Nurse Practitioner
95003008
CA
363LW0102X
Women's Health Nurse Practitioner
AP140725
TX
367A00000X
Advanced Practice Midwife
209007796
IL
367A00000X
Advanced Practice Midwife
235755
CA
367A00000X
Advanced Practice Midwife
Primary
AP140725
TX
Other
Enumeration date
11/06/2009
Last updated
04/12/2023
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