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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON SMITH, NP

Active Sole Proprietor

JASON SMITH, NP is a Adult Health Nurse Practitioner healthcare provider located in EDWARDSVILLE, Illinois. NPI 1033695564 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · EDWARDSVILLE, IL

Registration Details

NPI Number
1033695564
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2018 (8.120975916198 yrs)
Last Updated
Jul 18, 2018
License
APN.0993876-NP (CO)
Sole Proprietor
Yes

Practice Information

Address
413 SANNER ST
EDWARDSVILLE, IL, 620251080
Browse IL providers · Browse ZIP 62025
Phone
6182033733
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.