Individual
ANDREA NICOLE JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-4100
(479) 274-4199
Mailing address
2412 BEAR HOLLOW RD, FORT SMITH, AR 72916-7442
(479) 883-0618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
213228
AR
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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