NPI 1003046228 ALISSA DANIELLE SMITH NP SPRINGFIELD IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Alissa Danielle Smith - NPI: 1003046228

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: ALISSA DANIELLE SMITH
NPI Number: 1003046228
Entity Type Code: Individual (1)
Gender: F
Credentials: NP
License Number: 209007694
Business Practice Address: 3132 Old Jacksonville Rd
Suite 200 Springfield, IL - 627047400
Business Phone Number: 2178620800
Business Fax Number:
Mailing Address: Po Box 4566,
SPRINGFIELD
State: IL
Postal Code: 627084566
Phone Number: 8005775368
Fax Number: 2177572021
NPI Enumeration Date: 07/22/2009
NPI Last Update Date: 08/13/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 209007694
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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