Individual
NICHOLAS JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6675 HOLMES RD, KANSAS CITY, MO 64131-1150
(816) 808-7404
Mailing address
17923 S FRANCY RD, PLEASANT HILL, MO 64080-9287
(816) 808-7404
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2017038774
MO
363L00000X
Nurse Practitioner
Primary
2021043558
MO
Other
Enumeration date
06/02/2021
Last updated
10/01/2024
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