Individual
BILLIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 DODSON AVE STE 290, FORT SMITH, AR 72901-5182
(479) 709-7175
Mailing address
1500 DODSON AVE STE 290, FORT SMITH, AR 72901-5182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213390
AR
Other
Enumeration date
11/12/2020
Last updated
11/20/2020
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