Smith, Derek James

Smith, Derek James is an individual health care provider with primary practice located at 1010 W Columbia St , Farmington MO 63640-2902. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Smith, Derek James can be contacted via phone (573) 218-6792.

Contact Information

Primary practice address
1010 W Columbia St Farmington MO 63640-2902
Phone: (573) 218-6792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2011022715 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023006943 Missouri

Profile Details

NPI number 1891495784
LBN Legal business name Smith, Derek James
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2023
Last updated May 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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