Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie Smith, FNP

Individual provider Family Nurse Practitioner · NPI 1336680925

Jamie Smith, FNP is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2016, 10 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone: (618) 242-3778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209015749 (IL)

Record details

NPI number1336680925
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 15, 2017
Mailing address4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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