Individual provider · Type 1 NPI

Tracy L. Smith, AGNP

Adult Health Nurse Practitioner · St. Louis, MO

NPI number 1255895496 Active

Practice location

3555 Sunset Office Dr Ste 107
St. Louis, MO 63127-1045

Fax (314) 543-5219

Mailing address

PO Box 419052
St. Louis, MO 63141-9052

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician 207RG0100X2019000944 (MO)
Adult Health Nurse Practitioner Primary 363LA2200X2019000944 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1255895496

Tracy L. Smith, AGNP's National Provider Identifier is 1255895496, issued on Jan 22, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Aug 9, 2023.