Individual provider · Type 1 NPI

Nakissia S. Smith, PNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1215664008 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Other practice locations

  • 822 Sherburne Ave, St. Paul, MN 55104-2713 · (651) 528-0526

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X9208 (MN)
Pediatric Nurse Practitioner Primary 363LP0200X9208 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1215664008

Nakissia S. Smith, PNP's National Provider Identifier is 1215664008, issued on Aug 2, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 28, 2022.