Tierra Q Smith, FNP-BC | |
2001 State St, East Saint Louis, IL 62205-1803 | |
(618) 271-0204 | |
Not Available |
Full Name | Tierra Q Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2001 State St, East Saint Louis, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316647753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2023007983 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209027198 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
---|---|
Tierra Q Smith, FNP-BC 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-0204 | Tierra Q Smith, FNP-BC 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-0204 |
Mrs. Tina Teresa Mond, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N 8th St Ste 120, East Saint Louis, IL 62201 Phone: 618-274-9105 Fax: 618-274-9101 | |
Yolanda L Hoag, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617 | |
Stephanie Michelle Tate-patterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4901 State St, East Saint Louis, IL 62205 Phone: 618-646-3700 | |
Kayla Ann Pryor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0204 | |
Mrs. Donna Marie Wiley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 State St, East Saint Louis, IL 62205 Phone: 618-318-8809 Fax: 618-615-4205 | |
Ms. Latisha Trenice Stennis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8106 Carol Dr, East Saint Louis, IL 62203 Phone: 618-558-0920 | |
Mrs. Virginia L Behrhorst, BC APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311 |