Individual
MS. DEBRA S. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2817 MC CLELLAND BLVD, STE 350, JOPLIN, MO 64804-1629
(417) 782-5522
Mailing address
2129 GRAND AVE, JOPLIN, MO 64804-2123
(417) 782-3308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
142703
MO
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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