Alissa Danielle Smith
Nurse Practitioner - Family Medicine
3132 Old Jacksonville Rd Suite 200
Springfield
, Illinois 62704-7400
Alissa Danielle Smith
Nurse Practitioner - Family Medicine
3132 Old Jacksonville Rd Suite 200
Springfield
, Illinois 62704-7400
(217) 757-2021
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Alissa Danielle Smith
- Po Box 4566
- Springfield, IL
- Zip : 62708-4566
- Fax : (217) 757-2021
- Phone : (800) 577-5368
Second Address
- Alissa Danielle Smith
- 3132 Old Jacksonville Rd Suite 200
- Springfield, IL
- Zip : 62704-7400
- Phone : (217) 862-0800
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Is Alissa Danielle Smith a sole practitioner?
Is Alissa Danielle Smith accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209007694 | IL |
National Provider Identifier
| NPI | 1003046228 |
|---|---|
| Provider Name | Alissa Danielle Smith |
| First Address | Springfield, IL 62708-4566 |
| Second Address | Springfield, IL 62704-7400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2009 |
| Last Update Date | 13/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041-336573 | RN LICENSE (01) | IL |
| 2009006380 | ANCC CERTIFICATION (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.