Individual
MRS. JESSICA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3009 SW MOORE ST, BLUE SPRINGS, MO 64015-3309
(816) 260-0109
Mailing address
408 N. 4TH ST., SUITE B, ODESSA, MO 64076-1646
(816) 230-8777
(816) 230-8855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20190105340
MO
363L00000X
Nurse Practitioner
53-78693-091
KS
Other
Enumeration date
08/08/2019
Last updated
08/01/2023
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