Healthcare Provider Details

I. General information

NPI: 1376467928
Provider Name (Legal Business Name): JENNIFER LAYNE CURRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 JENNY LIND RD
FORT SMITH AR
72901-6735
US

IV. Provider business mailing address

2004 S 66TH ST
FORT SMITH AR
72903-3923
US

V. Phone/Fax

Practice location:
  • Phone: 479-222-1924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA2199
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: