| Carl Henry Smith, FNP-C, PMHNP-BC | |
|
1901 E 32nd St, Suite 20, Joplin, MO 64804-3072 | |
| (417) 781-2046 | |
| (417) 781-2086 |
| Full Name | Carl Henry Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1901 E 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972882744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2020010807 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2012028469 (Missouri) | Primary |
| Entity Name | Alliance Mental Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Henry Smith, FNP-C, PMHNP-BC 1901 E 32nd St, Suite 20, Joplin, MO 64804-3072 Ph: (417) 781-2046 | Carl Henry Smith, FNP-C, PMHNP-BC 1901 E 32nd St, Suite 20, Joplin, MO 64804-3072 Ph: (417) 781-2046 |
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906 | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866 | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471 | |
Susan Bounous, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2613 S Main St Ste D, Joplin, MO 64804 Phone: 417-553-7920 Fax: 877-464-5922 | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086 |