Individual
JANICE SUDBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7800 DALLAS ST, FORT SMITH, AR 72903-4278
(479) 259-9286
(479) 259-9362
Mailing address
7800 DALLAS ST, FORT SMITH, AR 72903-4278
(479) 259-9286
(479) 259-9362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004619
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A004619
STATE LICENSE
AR
05
—
PENDING
—
AR
Enumeration date
01/26/2016
Last updated
01/10/2023
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