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

Miah Raven Symone Smith

Individual provider Family Nurse Practitioner · NPI 1477488047

Miah Raven Symone Smith is a Family Nurse Practitioner in Matteson, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

402 Town Center Rd
Matteson, IL 60443-2300
Phone: (708) 852-5179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209035832 (IL)

Record details

NPI number1477488047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address402 Town Center Rd, Matteson, IL 60443-2300

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