Provider Demographics
NPI:1003565425
Name:SMITH, ALLISON MAE (APRN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MAE
Last Name:SMITH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MAE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:802 N RIVERSIDE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-2509
Mailing Address - Country:US
Mailing Address - Phone:816-271-7074
Mailing Address - Fax:816-385-8083
Practice Address - Street 1:802 N RIVERSIDE RD STE 220
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2509
Practice Address - Country:US
Practice Address - Phone:816-271-7074
Practice Address - Fax:816-385-8083
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-81023-061363LA2100X
MO2024045024363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care