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Lavada Jean Smith, ANP
Nurse Practitioner in Bridgeton, Missouri
NPI 1164691945

Lavada Jean Smith is a Nurse Practitioner based in Saint Louis, MO. Lavada Jean Smith practices in Bridgeton, MO and has the professional credentials of ANP. The NPI Number for Lavada Jean Smith is 1164691945 and holds a License No. 150496 (Missouri).

The current practice location address for Lavada Jean Smith is 12303 De Paul Dr, Bridgeton, MO and can be reached out via phone at 314-317-0600 and via fax at 314-317-0606.

Location: 12303 De Paul Dr, Bridgeton, MO, 63141-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164691945
Provider Name
Lavada Jean Smith
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
12303 De Paul Dr, Bridgeton, MO, 63141-5047
Phone Number
314-317-0600
Fax Number
314-317-0606
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164691945 05 MO
1164691945 05 IL
institution
Provider Business Practice Location Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-317-0600
Fax Number
314-317-0606
person
Provider Business Mailing Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-317-0600
Fax Number
314-317-0606
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2090200077 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
150496 (Missouri)
Definition
Definition to come...
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