Smith, Brenan Davis

Smith, Brenan Davis is an individual health care provider with primary practice located at 318 S Rhodes St , West Memphis AR 72301-4215. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Brenan Davis can be contacted via phone (870) 394-3023.

Contact Information

Primary practice address
318 S Rhodes St West Memphis AR 72301-4215
Phone: (870) 394-3023
Fax: (870) 551-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A005857 Arkansas

Profile Details

NPI number 1972099059
LBN Legal business name Smith, Brenan Davis
Credentials DNP, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2018
Last updated Mar 8th, 2024 - about 9 months 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 1972099059 NPPES
Arkansas MEDICAID 231513758

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