Willis-Smith, Nancy M

Willis-Smith, Nancy M is an individual health care provider with primary practice located at 202 E 50Th St , Joplin MO 64804-4920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willis-Smith, Nancy M can be contacted via phone (417) 556-3400.

Contact Information

Primary practice address
202 E 50Th St Joplin MO 64804-4920
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 107797 Missouri

Profile Details

NPI number 1144206673
LBN Legal business name Willis-Smith, Nancy M
Credentials FNP-C, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Sep 15th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144206673 NPPES
Kansas MEDICAID 2004328006
Kansas MEDICAID 428064521

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