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MRS. CAROLYN R SMITH APN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750585063

Individual Registrant:
MRS. CAROLYN R SMITH APN
Gender: F
Sole Proprietor

Location and contact information for practice:
326 SOUTH SIDE ROAD  BEE BRANCH, AR 72013-9137 US
Tel: 501-654-2006  Fax: 501-654-2016

Contact information for business:
PO BOX 1060  MARSHALL, AR 72650-1060 US
Tel: 870-448-5101  Fax: 870-448-3767

Registration Information:
NPI: 1750585063
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARAO1838

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
166812758AR05
STATE LICENSEA01838AR01
DEAMM1232913AR01




HEALTH CARE JOBS AR - Page 1



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