Individual provider · Type 1 NPI

Jacqueline Nicole Smart, MD

Student in an Organized Health Care Education/Training Program · Kansas City, KS

NPI number 1174371850 Active

Practice location

2146 W 39th Street
Kansas City, KS 66103

Call (515) 419-9128 Map

Mailing address

122 Delaware St Unit 1213
Kansas City, MO 64105-2528

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program Primary	390200000X	None listed
Dermatology Physician	207N00000X	9412370 (KS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Kansas City

See all in Kansas City →

About NPI 1174371850

Jacqueline Nicole Smart, MD's National Provider Identifier is 1174371850, issued on May 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, KS. The record was last updated on Jul 14, 2025.