Individual
MRS. LISA DENIECE COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 DODSON AVE, SUITE 280, FORT SMITH, AR 72901-5182
(479) 709-7480
(479) 709-7479
Mailing address
1500 DODSON AVE, SUITE 280, FORT SMITH, AR 72901-5182
(479) 709-7480
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004879
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200676450A
—
OK
05
—
217066758
—
AR
Enumeration date
08/11/2016
Last updated
04/19/2017
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