Ward, Connie Jin
Ward, Connie Jin is an sole proprietor health care provider with primary practice located at 7001 Rogers Ave Suite 200, Fort Smith AR 72903-4073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ward, Connie Jin can be contacted via phone (479) 314-7490.Contact Information
Primary practice address
7001 Rogers Ave Suite 200
Fort Smith AR 72903-4073
Phone: (479) 314-7490
Fax: (479) 314-7494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | A03542 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R73205 | Arkansas |
Profile Details
| NPI number | 1407140569 |
|---|---|
| LBN Legal business name | Ward, Connie Jin |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jun 7th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407140569 | NPPES |
| Arkansas | Other | A03542 | LICENSURE |
| Arkansas | Other | R73205 | LICENSURE |
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