Individual
DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N 6TH ST STE G1, PEKIN, IL 61554-3320
(309) 810-4407
(309) 354-2041
Mailing address
111 N 6TH ST STE G1, PEKIN, IL 61554-3320
(309) 810-4407
(309) 354-2041
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209023572
IL
Other
Enumeration date
07/22/2021
Last updated
11/03/2025
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