Individual
DEBORAH KAY GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3112 S 70TH ST, FORT SMITH, AR 72903-5068
(479) 452-8600
(479) 452-7844
Mailing address
1300 PETTWAY CIR, GREENWOOD, AR 72936-3729
(479) 996-7269
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
188588
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440121701
—
AR
Enumeration date
04/24/2007
Last updated
02/20/2013
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