Jean A Smith is a General Practice in Fordland, Missouri. Jean A Smith practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jean A Smith is 1962474486. The last update date is 2011-07-05.
Jean A Smith's current location address is 1059 Barton Dr, Fordland, Missouri. You can contact this provider via phone number 4177672273 and fax number 4177674054. The mailing address for Jean A Smith is 1059 Barton Dr, Fordland, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean A Smith |
|---|---|
| Address | 1059 Barton Dr, Fordland, Missouri |
| Phone Number | 4177672273 |
| Fax Number | 4177674054 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1962474486 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2011-07-05 |
Provider Mailing Address Detail
| Address | 1059 Barton Dr |
|---|---|
| City | Fordland |
| State | Missouri (MO) |
| Post Code | 656527350 |
| Phone Number | 4177672273 |
| Fax Number | 4177674054 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 163Wg0000X |
| Licence No | 153384 |
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Definition: A registered nurse who provides general nursing care across health settings. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424622504 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jean A Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Jean A Smith has been assigned the NPI (National Provider Identifier) 1962474486. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jean A Smith is physically located?
The Jean A Smith is physically situated at the following address: 1059 Barton Dr, Fordland, MO, 656527350.
What is the Jean A Smith's specialty and taxonomy code?
The Jean A Smith's specialty is General Practice, and the corresponding taxonomy code is 163Wg0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962474486 to Jean A Smith?
The Centers for Medicare & Medicaid Services assigned the 1962474486 to Jean A Smith on 2006-02-07.
As of what date were the details related to Jean A Smith most recently updated or revised?
The information pertaining to Jean A Smith, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-05.