Individual
MS. JORDAN MARIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11133 DUNN RD, DIV IM BONE MARROW TRANSPLANT, SAINT LOUIS, MO 63136-6163
(314) 454-8304
(314) 454-5902
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-8304
(314) 454-5902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023019714
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420129019
—
MO
Enumeration date
08/02/2022
Last updated
04/17/2025
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