IndividualActive
Kim Jaquish, RNP
NPI 1245228485 · Gerontology Nurse Practitioner · Fort Smith, AR
Provider details
- NPI number
- 1245228485
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNP
- Sex
- Female
- Sole proprietor
- No
- License
- P01373 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1500 Dodson Ave
Ste 125
Fort Smith, AR 72901-5182
Phone: (479) 573-7960
Fax: (479) 573-7961
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 402319
Atlanta, GA 30384-2319
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2010-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.