Individual
MACEE NOELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 3800, O FALLON, IL 62269-1281
(618) 234-2120
Mailing address
3 SAINT ELIZABETH BLVD STE 3800, O FALLON, IL 62269-1281
(618) 234-2120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022203
IL
363LF0000X
Family Nurse Practitioner
209022203
IL
Other
Enumeration date
06/02/2021
Last updated
07/19/2024
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