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Jamie Smith, FNP
Family Nurse Practitioner in Mount Vernon, Illinois
NPI 1336680925

Jamie Smith is a Family Nurse Practitioner based in Mount Vernon, IL and is specialized in Family. Jamie Smith practices in Mount Vernon, IL and has the professional credentials of FNP. The NPI Number for Jamie Smith is 1336680925 and holds a License No. 209015749 (Illinois).

The current practice location address for Jamie Smith is 4121 Veterans Memorial Dr, Mount Vernon, IL and can be reached out via phone at 618-242-3778.

Location: 4121 Veterans Memorial Dr, Mount Vernon, IL, 62864-6262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336680925
Provider Name
Jamie Smith
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4121 Veterans Memorial Dr, Mount Vernon, IL, 62864-6262
Phone Number
618-242-3778
Fax Number
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209015749 01 IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
4121 Veterans Memorial Dr
City
Mount Vernon
State
Illinois
Zip
62864-6262
Phone Number
618-242-3778
Fax Number
person
Provider Business Mailing Address Details
Address
4121 Veterans Memorial Dr
City
Mount Vernon
State
Illinois
Zip
62864-6262
Phone Number
618-242-3778
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209015749 (Illinois)
Definition
Definition to come...
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