Individual
MS. JILL ELENE SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2020 W COLORADO AVE STE 303, COLORADO SPRINGS, CO 80904-3882
(719) 473-2368
(719) 473-4581
Mailing address
2020 W COLORADO AVE STE 301, COLORADO SPRINGS, CO 80904-3882
(719) 473-2368
(719) 473-4581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
118390
CO
363L00000X
Nurse Practitioner
4704234535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40770044
—
CO
Enumeration date
06/29/2007
Last updated
09/29/2020
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