Individual
JONATHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
411 LAUREL ST STE A120, DES MOINES, IA 50314-3027
(515) 643-7900
(515) 643-7901
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-7900
(515) 643-7901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11539
IA
363L00000X
Nurse Practitioner
Primary
A115359
IA
Other
Enumeration date
02/03/2014
Last updated
11/11/2020
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