Individual
JOANN MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3416 OLD GREENWOOD RD, FORT SMITH, AR 72903-5462
(479) 242-2888
(479) 242-2889
Mailing address
3416 OLD GREENWOOD RD, FORT SMITH, AR 72903-5462
(479) 242-2888
(479) 242-2889
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R43284
AR
363LF0000X
Family Nurse Practitioner
Primary
A004261
AR
Other
Enumeration date
08/14/2014
Last updated
08/27/2015
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