Individual
ALLISON N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
791 WALL ST, O FALLON, IL 62269-2087
(283) 223-7997
Mailing address
1021 THORNBURY PL, O FALLON, IL 62269-6812
(618) 795-8087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2024042847
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209031884
IL
Other
Enumeration date
12/12/2024
Last updated
05/12/2026
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