Nakissia S Smith, PNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. Individual provider (NPI-1).
NPI number1215664008
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1215664008
- Entity type
- Individual (NPI-1)
- Name
- Nakissia S Smith
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 9208 | MN | Yes |
| 208000000X | Pediatrics | 9208 | MN |
Practice location
2525 Chicago AveMinneapolis, MN 55404-4518
Phone 651-220-6750
Mailing address
2525 Chicago AveMinneapolis, MN 55404-4518
Phone 651-220-6750
Other practice locations
822 Sherburne Ave
Saint Paul, MN 55104-2713
Saint Paul, MN 55104-2713
Phone 651-528-0526
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All 210 Pediatric Nurse Practitioner providers in Minneapolis · All 27,202 providers in Minneapolis
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