MRS. SUSAN J SMITH RNC FNP
NPI 1639373483
Nurse Practitioner - Primary Care in Poplar Bluff, MO

Active since June 14, 2007
1500 N WESTWOOD BLVD, BOX 658, POPLAR BLUFF, MO 63901(573) 339-0909 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan J Smith Rnc Fnp NPPES

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

MRS. SUSAN J SMITH RNC FNP (NPI 1639373483) is an individual primary care provider in Poplar Bluff, Missouri, licensed in Missouri (108177) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1639373483
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. SUSAN J SMITHCredential: RNC FNP
Location Address1500 N WESTWOOD BLVD, BOX 658Poplar Bluff, MO 63901-3318
Mailing Address1500 N Westwood BlvdPoplar Bluff, MO 63901-3318 · (573) 339-0909
Sole ProprietorNo
Enumeration DateJune 14, 2007
Last NPPES UpdateDecember 18, 2013
NPI 1639373483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MO · 108177
1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Other Identifiers 5

Medicaid425270931MO
Medicaid425270923MO
Medicaid425270956MO
Medicaid425270907MO
Medicaid425270949MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Registered Nurse
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

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 Susan Smith's NPI number?

The NPI number for Susan Smith is 1639373483. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Susan Smith located?

Susan Smith practices at 1500 N Westwood Blvd Box 658, Poplar Bluff, MO 63901. The listed phone number is (573) 339-0909.

What is Susan Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Susan Smith was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.