Individual
DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,APRN,AGCNS-BC
Contact information
Practice address
37714 ABBOTT RD, LEPANTO, AR 72354-9433
(870) 549-1949
Mailing address
37714 ABBOTT RD, LEPANTO, AR 72354-9433
(870) 549-1949
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
212659
AR
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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