NPI 1053697565

Joanna P. Smith, PAC

Practitioner Physician Assistant Jefferson City, MO

Practice location

Address: 2505 Mission Dr Suite 200, Jefferson City, MO 65109-9508
Phone: (573) 681-3759
Fax: (573) 681-3659

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2011033714 (MO)

Other Physician Assistant providers in Missouri →

Registry record

NPI: 1053697565
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2011
Record last updated: 18 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.