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1730859414
ANDREA NICOLE JANSEN
FORT SMITH, AR
NPI
1730859414
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Former Name
ANDREA NICOLE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR 213228)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
ANDREA NICOLE JANSEN ACNP
6801 ROGERS AVE
FORT SMITH, AR 72903-4067
Phone number: 479-274-4100
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Mailing Address
ANDREA NICOLE JANSEN ACNP
2412 BEAR HOLLOW RD
FORT SMITH, AR 72916-7442
Phone number: 479-883-0618
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