Individual
MRS. ASHDEN NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2550 LUSK DR, NEOSHO, MO 64850
(417) 451-2060
Mailing address
2550 LUSK DR, NEOSHO, MO 64850-8855
(417) 451-2060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013038351
MO
Other
Enumeration date
06/19/2014
Last updated
05/23/2018
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