Smith, Stacie Renee
Smith, Stacie Renee is an individual health care provider with primary practice located at 108 N Shackleford Rd , Little Rock AR 72211-2840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Stacie Renee can be contacted via phone (501) 712-2571.Contact Information
Primary practice address
108 N Shackleford Rd
Little Rock AR 72211-2840
Phone: (501) 712-2571
Fax: (501) 404-7789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-359 | Arkansas |
Profile Details
| NPI number | 1619128360 |
|---|---|
| LBN Legal business name | Smith, Stacie Renee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Apr 5th, 2022 - about 2 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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