Individual
CARL HENRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1901 E 32ND ST, SUITE 20, JOPLIN, MO 64804-3072
(417) 781-2046
(417) 781-2086
Mailing address
1901 E 32ND ST, SUITE 20, JOPLIN, MO 64804-3072
(417) 781-2046
(417) 781-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012028469
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2020010807
MO
Other
Enumeration date
08/11/2011
Last updated
04/14/2020
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