MS. KELLI JO SMITH APRN NPI 1215507884

NPI Information

  • NPI: 1215507884
  • Provider Name: MS. KELLI JO SMITH, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 106 HIGHWAY 62 W
    SALEM, AR
    ZIP 72576
  • Phone: (501) 438-8075

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NPI Details

MS. Kelli Jo Smith, APRN is a family nurse practitioner in Salem, AR with 6 years of experience. MS. Kelli Jo Smith, APRN NPI is 1215507884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

106 HIGHWAY 62 W
SALEM, AR
ZIP 72576-059
Phone: (501) 438-8075
Fax: (870) 856-2107

The NPI 1215507884 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 6/28/2021 and was last updated on 7/2/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily213389ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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