Individual
MRS. FELICIA DAVIS-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-C
Contact information
Practice address
2615 ILLINOIS AVE, JOPLIN, MO 64804-2813
(314) 809-7256
Mailing address
2615 ILLINOIS AVE, JOPLIN, MO 64804-2813
(314) 809-7256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017017764
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024035797
MO
Other
Enumeration date
08/28/2018
Last updated
08/31/2024
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