Smith, Teresa Jacqulyn

Smith, Teresa Jacqulyn is an individual health care provider with primary practice located at 2000 Se Blue Pkwy , Lees Summit MO 64063-1041. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Teresa Jacqulyn can be contacted via phone (816) 607-2950.

Contact Information

Primary practice address
2000 Se Blue Pkwy Lees Summit MO 64063-1041
Phone: (816) 607-2950
Fax: (816) 607-2990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG10190069 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AG10190069 Missouri

Profile Details

NPI number 1629610126
LBN Legal business name Smith, Teresa Jacqulyn
Credentials APRN AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2019
Last updated Feb 10th, 2022 - about 4 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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