Most Relevant Information
Provider Data
| NPI Number: | 1003046228 |
| Provider Name: | ALISSA DANIELLE SMITH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209007694 |
Most Important Dates
| Enumeration Date: | 07/22/2009 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
3132 OLD JACKSONVILLE RD
SUITE 200
SPRINGFIELD
IL
627047400
Practice Location Phone/Fax
| Phone: | 2178620800 |
| Fax: |
Provider Mailing Location
PO BOX 3428
SPRINGFIELD
IL
627083428
Provider Mailing Phone/Fax
| Phone: | 8005775368 |
| Fax: | 2177577550 |