Healthcare Provider Details

I. General information

NPI: 1306163159
Provider Name (Legal Business Name): JULIA D SPEARS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA D SMITH APRN

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E EMMA AVE STE C
SPRINGDALE AR
72764-4685
US

IV. Provider business mailing address

614 E EMMA AVE STE 300
SPRINGDALE AR
72764-4469
US

V. Phone/Fax

Practice location:
  • Phone: 479-751-7417
  • Fax: 479-751-4898
Mailing address:
  • Phone: 479-751-7417
  • Fax: 479-751-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberA003394
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: