MRS. CRISTIE LYNN SMITH CERTIFIED MEDICAL AS NPI 1235226069

NPI Information

NPI: 1235226069
Provider Name: MRS. CRISTIE LYNN SMITH, CERTIFIED MEDICAL AS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
119 GAS PLANT RD
REA CLINIC DU QUOIN
DU QUOIN, IL
ZIP 62832
Phone: (618) 724-8702
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MRS. Cristie Lynn Smith, CERTIFIED MEDICAL AS is a medical physician assistant in Du Quoin, IL. MRS. Cristie Lynn Smith, CERTIFIED MEDICAL AS NPI is 1235226069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

119 GAS PLANT RD
REA CLINIC DU QUOIN
DU QUOIN, IL
ZIP 62832
Phone: (618) 724-8702
Fax: (618) 724-2571

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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