Individual
GRACE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6245
(479) 452-0275
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 314-6245
(479) 452-0275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1475
AR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
03/02/2026
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