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Garrett William Smith
Nurse Practitioner in Marion, Illinois
NPI 1821766973

Garrett William Smith is a Nurse Practitioner based in Carbondale, IL. Garrett William Smith practices in Marion, IL. The NPI Number for Garrett William Smith is 1821766973 and holds a License No. 30314 (Illinois).

The current practice location address for Garrett William Smith is 2808 East Outer Dr, Marion, IL and can be reached out via phone at 618-993-3817 and via fax at 618-993-3908.

Location: 2808 East Outer Dr, Marion, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821766973
Provider Name
Garrett William Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
2808 East Outer Dr, Marion, IL, 62902-3988
Phone Number
618-993-3817
Fax Number
618-993-3908
Provider Enumeration Date
09/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2808 East Outer Dr
City
Marion
State
Illinois
Zip
62959-5207
Phone Number
618-993-3817
Fax Number
618-993-3908
person
Provider Business Mailing Address Details
Address
2808 East Outer Dr
City
Marion
State
Illinois
Zip
62959-5207
Phone Number
618-993-3817
Fax Number
618-993-3908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209024498 (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
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30314 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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