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

Teresa Jacqulyn Smith, APRNAGNP

Individual provider Gerontology Nurse Practitioner · NPI 1629610126

Teresa Jacqulyn Smith, APRNAGNP is a Gerontology Nurse Practitioner in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2000 SE Blue Pkwy
Lees Summit, MO 64063-1041
Phone: (816) 607-2950
Fax: (816) 607-2990
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AG10190069 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AG10190069 (MO)

Record details

NPI number1629610126
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNAGNP
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESFebruary 10, 2022

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