Individual
BARBARA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3 E CLARK BASS BLVD, SUITE 2, MCALESTER, OK 74501-4283
(918) 421-6960
(918) 421-6094
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-6960
(918) 421-6094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102201
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200626060A
—
OK
Enumeration date
12/08/2015
Last updated
09/03/2020
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