Smith, Jean A
Smith, Jean A is an individual health care provider with primary practice located at 1059 Barton Dr , Fordland MO 65652-7350. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Smith, Jean A can be contacted via phone (417) 767-2273.Contact Information
Primary practice address
1059 Barton Dr
Fordland MO 65652-7350
Phone: (417) 767-2273
Fax: (417) 767-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 153384 | Missouri |
Profile Details
| NPI number | 1962474486 |
|---|---|
| LBN Legal business name | Smith, Jean A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jul 5th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962474486 | NPPES |
| Missouri | MEDICAID | 424622504 |
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