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JASON SMITH NP
NPI 1033695564
Nurse Practitioner - Adult Health in Edwardsville, IL

Active since July 18, 2018
413 SANNER ST, EDWARDSVILLE, IL 62025(618) 203-3733 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Smith Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON SMITH NP (NPI 1033695564) is an individual adult health provider in Edwardsville, Illinois, licensed in Colorado (APN.0993876-NP) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1033695564
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJASON SMITHCredential: NP
Location Address413 SANNER STEdwardsville, IL 62025-1080
Mailing Address413 Sanner StEdwardsville, IL 62025-1080 · (618) 203-3733
Phone(618) 203-3733
Sole ProprietorYes
Enumeration DateJuly 18, 2018
✔ NPI 1033695564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CO · APN.0993876-NP
413 SANNER ST, Edwardsville, IL 62025
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Smith's NPI number?

The NPI number for Jason Smith is 1033695564. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Jason Smith located?

Jason Smith practices at 413 Sanner St, Edwardsville, IL 62025. The listed phone number is (618) 203-3733.

What is Jason Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jason Smith was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.