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

LAVADA JEAN SMITH, ANP

Active

LAVADA JEAN SMITH, ANP is a Nurse Practitioner healthcare provider located in BRIDGETON, Missouri. NPI 1164691945 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BRIDGETON, MO

Registration Details

NPI Number
1164691945
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2008 (18.281348829841 yrs)
Last Updated
Apr 20, 2020
Licenses
150496 (MO)
2090200077 (IL)

Practice Information

Address
12303 DE PAUL DR
BRIDGETON, MO, 630442512
Browse MO providers · Browse ZIP 63044
Phone
3143170600
Fax
3143170606
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BRIDGETON, MO

Name Credential NPI
DEBRA E SOLOM A.N.P. 1003848516
REBECCA DEATHERAGE BUWALDA APRNBC 1366477226
MR. MATTHEW W. BRUNS CNP 1447266333
JAINA VALLARTA RN, MSN, APRN-BC 1497851448
AGNES CHAN LEWIS ANP 1821360454
MARY F HANS WHNP-BC 1457604878
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.