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Mrs. Kanita Smith, AGNP-C
Primary Care Nurse Practitioner in Texarkana, Texas
NPI 1689216566

Kanita Smith is a Primary Care Nurse Practitioner based in Texarkana, TX and is specialized in Primary Care. Kanita Smith practices in Texarkana, TX and has the professional credentials of AGNP-C. The NPI Number for Kanita Smith is 1689216566 and holds a License No. AP143454 (Texas).

The current practice location address for Kanita Smith is 3002 Moores Ln, Texarkana, TX and can be reached out via phone at 430-200-4350 and via fax at 833-491-2722.

Location: 3002 Moores Ln, Texarkana, TX, 75503-2204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689216566
Provider Name
Kanita Smith
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
3002 Moores Ln, Texarkana, TX, 75503-2204
Phone Number
430-200-4350
Fax Number
833-491-2722
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3002 Moores Ln
City
Texarkana
State
Texas
Zip
75503
Phone Number
430-200-4350
Fax Number
833-491-2722
person
Provider Business Mailing Address Details
Address
3002 Moores Ln
City
Texarkana
State
Texas
Zip
75503
Phone Number
430-200-4350
Fax Number
833-491-2722
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
AP143454 (Texas)
Definition
Definition to come...
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