Individual provider · Type 1 NPI

Bernetta Smith, FNP-C

Family Nurse Practitioner · Mokena, IL

NPI number 1619487303 Active

Practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

PO Box 25660
Belfast, ME 04915-2007

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X296925 (AZ)
Family Nurse Practitioner 363LF0000XAP61342325 (WA)
Family Nurse Practitioner 363LF0000X902046 (MS)
Family Nurse Practitioner 363LF0000XAP139320 (TX)
Family Nurse Practitioner 363LF0000XC-APN.0004355-C-NP (CO)
Family Nurse Practitioner Primary 363LF0000X277002660 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1619487303

Bernetta Smith, FNP-C's National Provider Identifier is 1619487303, issued on Oct 7, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mokena, IL. The record was last updated on May 6, 2025.