Individual
KRISTEN ERIN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6240
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 314-6240
(479) 452-0275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004798
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215150758
—
AR
Enumeration date
07/05/2016
Last updated
11/17/2025
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