Smith, Jamie

Smith, Jamie is an individual health care provider with primary practice located at 4121 Veterans Memorial Dr , Mount Vernon IL 62864-6262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Jamie can be contacted via phone (618) 242-3778.

Contact Information

Primary practice address
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262
Phone: (618) 242-3778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209015749 Illinois

Profile Details

NPI number 1336680925
LBN Legal business name Smith, Jamie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2017
Last updated Mar 15th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336680925 NPPES
Illinois Other 209015749 APN LICENSE

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