| Doctor Name: | JENNIFER SMITH |
| NPI Number: | 1073921029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | A004143 |
| Business Practice Address: | 1101 N Progress Ave Siloam Springs, AR - 727614343 |
| Business Phone Number: | 4795494010 |
| Business Fax Number: | |
| Mailing Address: | 1101 N Progress Ave, SILOAM SPRINGS |
| State: | AR |
| Postal Code: | 727614343 |
| Phone Number: | 4795494010 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2014 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | A004143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |