Individual
MRS. CAROLYN R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
326 SOUTH SIDE ROAD, BEE BRANCH, AR 72013-9137
(501) 654-2006
(501) 654-2016
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5101
(870) 448-3767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO1838
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166812758
—
AR
01
—
A01838
STATE LICENSE
AR
Enumeration date
06/12/2007
Last updated
03/07/2023
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