Kim Jaquish, RNP
NPI #1245228485 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1245228485
- Entity Type
- Individual
- Name
- Kim Jaquish, RNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- RNP
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Aug 27, 2010
Practice Location
- Address
- 1500 DODSON AVE
- Address 2
- STE 125
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-5182
- Phone
- (479) 573-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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