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
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | APN.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.