KIM JAQUISH, RNP

Nurse Practitioner - Gerontology

Active Individual
NPI: 1245228485

Practice Address

1500 DODSON AVE
STE 125
Fort Smith, AR 72901

Phone: (479) 573-7960

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes P01373 (AR)

Frequently Asked Questions

NPI 1245228485 is the National Provider Identifier for KIM JAQUISH, RNP, a Nurse Practitioner - Gerontology provider located in Fort Smith, AR. This NPI was enumerated on October 12, 2005.
KIM JAQUISH, RNP practices at 1500 DODSON AVE, STE 125, Fort Smith, AR 72901.

Quick Facts

NPI
1245228485
Type
Individual
Enumerated
Oct 12, 2005
Last Updated
Aug 27, 2010

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