Smith, Virginia G

Smith, Virginia G is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Virginia G can be contacted via phone (794) 443-4301.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3156422 Florida

Profile Details

NPI number 1619021623
LBN Legal business name Smith, Virginia G
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Sep 20th, 2023 - about last year

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 1619021623 NPPES
Florida MEDICAID 001381500

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