Individual
MS. KELLI JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
106 HIGHWAY 62 W, SALEM, AR 72576-8059
(501) 438-8075
(870) 856-2107
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-2107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213389
AR
Other
Enumeration date
06/28/2021
Last updated
07/02/2021
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