CONNIE JIN WARD APN NPI 1407140569

NPI Information

Connie Jin Ward, APN is an adult health nurse practitioner in Fort Smith, AR with 14 years of experience. Connie Jin Ward, APN NPI is 1407140569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7001 ROGERS AVE
SUITE 200
FORT SMITH, AR
ZIP 72903-073
Phone: (479) 314-7490
Fax: (479) 314-7494

The NPI 1407140569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2011 and was last updated on 6/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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