Healthcare Provider Details

I. General information

NPI: 1972855161
Provider Name (Legal Business Name): KAREN FARMER EVERETT F.N.P. - B.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PERSHING HWY
SMACKOVER AR
71762
US

IV. Provider business mailing address

1400 PERSHING HWY
SMACKOVER AR
71762
US

V. Phone/Fax

Practice location:
  • Phone: 870-725-3471
  • Fax: 870-825-3041
Mailing address:
  • Phone: 870-725-3471
  • Fax: 870-825-3041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA003777
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: