Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3850 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807-5287
(417) 269-7290
Mailing address
1210 W STONE MEADOW WAY, SPRINGFIELD, MO 65810-1609
(417) 693-2600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2013014702
MO
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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