MRS. CHANDRA DIONE SMITH APRN CPNP NPI 1467613562

NPI Information

NPI: 1467613562
Provider Name: MRS. CHANDRA DIONE SMITH, APRN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
7500 DOLLARWAY RD STE 401
WHITE HALL, AR
ZIP 71602
Phone: (903) 422-3944
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MRS. Chandra Dione Smith, APRN, CPNP is a pediatrics nurse practitioner in White Hall, AR. MRS. Chandra Dione Smith, APRN, CPNP NPI is 1467613562. 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:

7500 DOLLARWAY RD STE 401
WHITE HALL, AR
ZIP 71602-083
Phone: (903) 422-3944

The NPI 1467613562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 12/1/2022.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	A03124	ARKANSAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP130993	TEXAS	No
3	363LP0200X	Nurse Practitioner	Pediatrics	23850	SOUTH CAROLINA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	170250758	MEDICAID	ARKANSAS

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: 5/5/2024

NPI Synchronization or Removal

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