Smith, Nicole R

Smith, Nicole R is an individual health care provider with primary practice located at 1741 Ne Douglas St Ste 200 , Lees Summit MO 64086-4704. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Nicole R can be contacted via phone (816) 246-0200.

Contact Information

Primary practice address
1741 Ne Douglas St Ste 200 Lees Summit MO 64086-4704
Phone: (816) 246-0200
Fax: (913) 495-3730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 46302 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2004004105 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2021038560 Missouri

Profile Details

NPI number 1366695348
LBN Legal business name Smith, Nicole R
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Oct 12th, 2021 - about 5 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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