Individual
MRS. CHANDRA DIONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
1201 BISHOP STREET, PROFESSIONAL BLDG #4, LITTLE ROCK, AR 72202
(501) 364-1004
(501) 364-6291
Mailing address
2701 W 27TH AVE, PINE BLUFF, AR 71603-4945
(501) 425-8827
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
23850
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
A003124
AR
363LP0200X
Pediatric Nurse Practitioner
A03124
AR
363LP0200X
Pediatric Nurse Practitioner
AP130993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170250758
—
AR
Enumeration date
06/20/2008
Last updated
05/02/2024
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