Canada, Janet R.

Canada, Janet R. is an individual health care provider with primary practice located at 3501 W. E. Knight Drive , Fort Smith AR 72903-6248. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Canada, Janet R. can be contacted via phone (479) 709-6700.

Contact Information

Primary practice address
3501 W. E. Knight Drive Fort Smith AR 72903-6248
Phone: (479) 709-6700
Fax: (479) 709-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A02916 ANP Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A02916ANP Arkansas

Profile Details

NPI number 1649384413
LBN Legal business name Canada, Janet R.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649384413 NPPES
Arkansas MEDICAID 161092758

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