Smith, Robert Larry

Smith, Robert Larry is an sole proprietor health care provider with primary practice located at 260D Shoppingway Blvd , West Memphis AR 72301-7230. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Robert Larry can be contacted via phone (901) 303-5040.

Contact Information

Primary practice address
260D Shoppingway Blvd West Memphis AR 72301-7230
Phone: (901) 303-5040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000014593 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005873 Arkansas
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A005873 Arkansas

Profile Details

NPI number 1134450307
LBN Legal business name Smith, Robert Larry
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2010
Last updated May 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134450307 NPPES
Tennessee MEDICAID PENDING

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