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Mr. Thomas J Smith, ACNP
Acute Care Nurse Practitioner in Kirksville, Missouri
NPI 1417566142

Thomas J Smith is an Acute Care Nurse Practitioner based in Kirksville, MO and is specialized in Acute Care. Thomas J Smith practices in Kirksville, MO and has the professional credentials of ACNP. The NPI Number for Thomas J Smith is 1417566142 and holds a License No. 2019045891 (Missouri).

The current practice location address for Thomas J Smith is 803 Rena St, Kirksville, MO and can be reached out via phone at 660-342-5295.

Location: 803 Rena St, Kirksville, MO, 63501-2012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417566142
Provider Name
Thomas J Smith
Credential
ACNP
Provider Entity Type
Individual
Gender
Male
Address
803 Rena St, Kirksville, MO, 63501-2012
Phone Number
660-342-5295
Fax Number
Provider Enumeration Date
07/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019045891 01 MO MISSOURI STATE BOARD OF NURSING NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
803 Rena St
City
Kirksville
State
Missouri
Zip
63501-2012
Phone Number
660-342-5295
Fax Number
person
Provider Business Mailing Address Details
Address
803 Rena St
City
Kirksville
State
Missouri
Zip
63501-2012
Phone Number
660-342-5295
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
2019045891 (Missouri)
Definition
Definition to come...
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