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

Individual provider Prevention Professional · NPI 1063981710

Jon Maurice Smoots is a Prevention Professional in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
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Practice location Address checks out

7710 W Casper St
Milwaukee, WI 53216
Phone: (414) 231-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 1319081 (WI)

Record details

NPI number1063981710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2018
Last updated in NPPESNovember 23, 2018

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