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Ms. Kathleen W. Smith, APN
Adult Health Clinical Nurse Specialist in Peoria, Illinois
NPI 1992109755

Kathleen W. Smith is an Adult Health Clinical Nurse Specialist based in Peoria, IL and is specialized in Adult Health. Kathleen W. Smith practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Kathleen W. Smith is 1992109755 and holds a License No. 209.012013 (Illinois).

The current practice location address for Kathleen W. Smith is 900 Main Street Suite 280, Peoria, IL and can be reached out via phone at 309-643-6118 and via fax at 309-517-7476.

Location: 900 Main Street Suite 280, Peoria, IL, 61615-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992109755
Provider Name
Kathleen W. Smith
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
900 Main Street Suite 280, Peoria, IL, 61615-1121
Phone Number
309-643-6118
Fax Number
309-517-7476
Provider Enumeration Date
10/22/2014
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
900 Main Street Suite 280
City
Peoria
State
Illinois
Zip
61636-4688
Phone Number
309-643-6118
Fax Number
309-517-7476
person
Provider Business Mailing Address Details
Address
900 Main Street Suite 280
City
Peoria
State
Illinois
Zip
61636-4688
Phone Number
309-643-6118
Fax Number
309-517-7476
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209012013 (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
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
364SA2200X
License No.
209.012013 (Illinois)
Definition
Definition to come...
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