MRS. Misty Dawn Smith, NP

NPI #1447095013 in Shiloh, Illinois

Provider Information

NPI Number
1447095013
Entity Type
Individual
Name
MRS. Misty Dawn Smith, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jun 26, 2024
Last Updated
Jun 26, 2024

Practice Location

Address
1179 FORTUNE BLVD
City
Shiloh
ZIP Code
62269-7377
Phone
(618) 624-7300

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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