Individual
BRENNA ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 E SIGLER AVE STE A, MEMPHIS, MO 63555-1726
(660) 465-2828
Mailing address
450 E SIGLER AVE, MEMPHIS, MO 63555-1726
(660) 465-2828
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2018012663
MO
363LF0000X
Family Nurse Practitioner
Primary
2023003913
MO
Other
Enumeration date
09/21/2022
Last updated
05/19/2025
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