Individual provider · Type 1 NPI

Jason Smith, NP

Adult Health Nurse Practitioner · Edwardsville, IL

NPI number 1033695564 Active

Practice location

413 Sanner St
Edwardsville, IL 62025-1080

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPN.0993876-NP (CO)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1033695564

Jason Smith, NP's National Provider Identifier is 1033695564, issued on Jul 18, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 18, 2018.