Individual provider · Type 1 NPI
Leeza Caroline Smith, FNP
Family Nurse Practitioner · Poplar Bluff, MO
NPI number
1386407187
Active
Practice location
1648 W Harper St Ste 2
Poplar Bluff, MO 63901-4110
Mailing address
14458 Spyglass Pt
Dexter, MO 63841-8334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2023050148 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386407187
Leeza Caroline Smith, FNP's National Provider Identifier is 1386407187, issued on Feb 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Feb 5, 2024.