Individual
MRS. CORINNE ROSE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3420 S 74TH ST, FORT SMITH, AR 72903-5026
(479) 573-3740
(479) 573-3741
Mailing address
3420 S 74TH ST, FORT SMITH, AR 72903-5026
(479) 573-3740
(479) 573-3741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003876
AR
363LF0000X
Family Nurse Practitioner
R0074165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0074165
NURSING LICENSE
OK
Enumeration date
01/26/2007
Last updated
03/07/2023
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