Individual
AMANDA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 259-9548
Mailing address
10113 FOXBORO RD, FORT SMITH, AR 72903-5776
(479) 459-6046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R091532
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R091532
RN LICENSE
AR
Enumeration date
12/27/2022
Last updated
12/27/2022
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