Individual
CHANELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2801 S UNIVERSITY AVE # DSC102, LITTLE ROCK, AR 72204-1000
(501) 569-3188
Mailing address
2801 S UNIVERSITY AVE # DSC102, LITTLE ROCK, AR 72204-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123574
AR
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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