DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STACIE RENEE SMITH PA

MEDICARE: STACIE RENEE SMITH PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA-359AR

General Provider Information

NPI Number : 1619128360
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE RENEE SMITH PA
Provider Business Mailing Address
First Line : 108 N SHACKLEFORD RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2840
Country : US
Telephone Number : 501-712-2571
Fax Number : 501-404-7789
Provider Business Practice Location Address
First Line : 108 N SHACKLEFORD RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2840
Country : US
Telephone Number : 501-712-2571
Fax Number : 501-404-7789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 04/05/2022

Similar Medicare Providers

1609708437 — KASEY SAUNDERS APRN, ANGP-C
Practice Location Address:
108 N SHACKLEFORD RD
LITTLE ROCK, AR
72211-2840
Practice Phone: 501-260-7228
Practice Fax: 888-630-8885
1043299332 — FRANCES KRISTINE KETZ PHD
Practice Location Address:
108 N SHACKLEFORD RD
LITTLE ROCK, AR
72211-2840
Practice Phone: 501-346-8116
Practice Fax:
1508822735 — DR. NOEMI ESPINOLA SALANG RAMSAY MD
Practice Location Address:
108 N SHACKLEFORD RD
LITTLE ROCK, AR
72211-2840
Practice Phone: 501-712-2571
Practice Fax:
1851443832 — DR. TERRY GRANT FLETCHER MD PHD
Practice Location Address:
108 N SHACKLEFORD RD
LITTLE ROCK, AR
72211-2840
Practice Phone: 501-712-2571
Practice Fax:
1598810244 — MR. MIKHAIL Y IVANOVSKY MD
Practice Location Address:
108 N SHACKLEFORD RD
LITTLE ROCK, AR
72211-2840
Practice Phone: 501-712-2571
Practice Fax: 501-404-7789
1720289945 — ANNA NICOLE RINEWALT MD
Practice Location Address:
108 N SHACKLEFORD RD
LITTLE ROCK, AR
72211-2840
Practice Phone: 501-712-2571
Practice Fax: 501-404-7789

Directions to “ STACIE RENEE SMITH PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.