Individual
MRS. NANCY E SMITH-LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1011 S EAST ST, MOUNT VERNON, MO 65712-1331
(417) 466-7191
(417) 466-3876
Mailing address
1011 S EAST ST, MOUNT VERNON, MO 65712-1331
(417) 466-7191
(417) 466-3876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113916
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506125400
—
MO
Enumeration date
07/07/2005
Last updated
08/15/2011
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