Jackie Smith, RN

Psychiatry Physician · Independence, MO

Individual Active NPI

NPI number 1568298628

Practice location

4429 S River Blvd Ste B
Independence, MO 64055-4659
Phone
(816) 768-0090
Fax
(816) 912-1739

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NPI record

NPI
1568298628
Entity type
Individual (Type 1)
Enumeration date
September 13, 2024
Last updated
September 13, 2024
Certified
September 13, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X 2018029056 MO

About Jackie Smith

Jackie Smith, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 4429 S River Blvd Ste B, Independence, MO 64055-4659. The NPI number 1568298628 was assigned on September 13, 2024 and the record was last updated on September 13, 2024.

Jackie Smith lists a license in the registry: #2018029056 (MO) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackie Smith, RN?

The NPI number is 1568298628.

What is the phone number of Jackie Smith?

The phone number listed for the practice location is (816) 768-0090.

Where is Jackie Smith located?

4429 S River Blvd Ste B, Independence, MO 64055-4659.

What is the taxonomy code for Jackie Smith?

The primary taxonomy code is 2084P0800X – Psychiatry Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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