Individual
TANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3700 ACCESS RD, JONESBORO, AR 72401-8225
(870) 972-4828
Mailing address
3700 ACCESS RD, JONESBORO, AR 72401-8225
(870) 972-4828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L045878
AR
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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