MEDICARE: DR. LORI ANN SMITH APRN, DNP, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	A004108	AR
2	363LF0000X	Family Nurse Practitioner	54190	WY

General Provider Information

NPI Number	:	1831504638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI ANN SMITH APRN, DNP, FNP-C

Provider Business Mailing Address
First Line	:	3001 TWIN RIVERS DR STE A
Second Line	:
City	:	ARKADELPHIA
State	:	AR
Zip	:	71923-4219
Country	:	US
Telephone Number	:	501-860-5150
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 TWIN RIVERS DR STE A
Second Line	:
City	:	ARKADELPHIA
State	:	AR
Zip	:	71923-4219
Country	:	US
Telephone Number	:	888-203-3880
Fax Number	:	877-807-6377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	09/19/2025

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