Smith, Destiney Khristine
Smith, Destiney Khristine is an individual health care provider with primary practice located at 639 York St Rm 212 , Quincy IL 62301-3919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Destiney Khristine can be contacted via phone (217) 222-6277.Contact Information
Primary practice address
639 York St Rm 212
Quincy IL 62301-3919
Phone: (217) 222-6277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209.027547 | Illinois |
Profile Details
| NPI number | 1659064483 |
|---|---|
| LBN Legal business name | Smith, Destiney Khristine |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2023 |
| Last updated | Jun 6th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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