Individual
ANDREW R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
416 E WASHINGTON AVE, JONESBORO, AR 72401-3108
(870) 333-5476
(870) 333-5475
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005807
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229192758
—
AR
Enumeration date
07/24/2018
Last updated
07/12/2019
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