person
Kim Jaquish, RNP
Gerontology Nurse Practitioner in Fort Smith, Arkansas
NPI 1245228485

Kim Jaquish is a Gerontology Nurse Practitioner based in Atlanta, AR and is specialized in Gerontology. Kim Jaquish practices in Fort Smith, AR and has the professional credentials of RNP. The NPI Number for Kim Jaquish is 1245228485 and holds a License No. P01373 (Arkansas).

The current practice location address for Kim Jaquish is 1500 Dodson Ave, Fort Smith, AR and can be reached out via phone at 479-573-7960 and via fax at 479-573-7961. You can also correspond with Kim Jaquish through the mailing address at PO BOX 402319, ATLANTA, GA - 30384-2319 (mailing address contact number: 479-709-7399).

Location: 1500 Dodson Ave, Fort Smith, AR, 30384-2319
person
Provider Profile Details
NPI Number
1245228485
Provider Name
Kim Jaquish
Credential
RNP
Provider Entity Type
Individual
Gender
Female
Address
1500 Dodson Ave, Fort Smith, AR, 30384-2319
Phone Number
479-573-7960
Fax Number
479-573-7961
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
155652741 05 AR
100013980A 05 OK
institution
Provider Business Practice Location Address Details
Address
1500 Dodson Ave
City
State
Zip
72901-5182
Phone Number
479-573-7960
Fax Number
479-573-7961
person
Provider Business Mailing Address Details
Address
Po Box 402319
City
State
Zip
30384-2319
Phone Number
479-709-7399
Fax Number
479-709-7053
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
P01373 (Arkansas)
Definition
Definition to come...
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