Healthcare Provider Details

I. General information

NPI: 1619801974
Provider Name (Legal Business Name): PRESLIE SMITH APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BAPTIST HEALTH DR
LITTLE ROCK AR
72205-6316
US

IV. Provider business mailing address

473 GRANT 4620
SHERIDAN AR
72150-6202
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-2000
  • Fax:
Mailing address:
  • Phone: 870-575-3127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number237667
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: