Individual
CONNIE JIN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7001 ROGERS AVE, SUITE 200, FORT SMITH, AR 72903-4073
(479) 314-7490
(479) 314-7494
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 338-6377
(479) 338-6378
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A03542
AR
363LA2200X
Adult Health Nurse Practitioner
R73205
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03542
LICENSURE
AR
01
—
R73205
LICENSURE
AR
Enumeration date
06/07/2011
Last updated
01/15/2026
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