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Individual

BERNETTA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
11200 LINCOLN HWY, MOKENA, IL 60448-8208
(866) 389-2727
Mailing address
PO BOX 25660, BELFAST, ME 04915-2007
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277002660
IL
363LF0000X
Family Nurse Practitioner
296925
AZ
363LF0000X
Family Nurse Practitioner
902046
MS
363LF0000X
Family Nurse Practitioner
AP139320
TX
363LF0000X
Family Nurse Practitioner
AP61342325
WA
363LF0000X
Family Nurse Practitioner
C-APN.0004355-C-NP
CO

Other

Enumeration date
10/07/2017
Last updated
05/06/2025
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