Individual provider · Type 1 NPI

Stacie Renee Smith, PA

Medical Physician Assistant · Little Rock, AR

NPI number 1619128360 Active

Practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Fax (501) 404-7789

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-359 (AR)

Medical Physician Assistant: Definition to come...

27 other providers at this address

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About NPI 1619128360

Stacie Renee Smith, PA's National Provider Identifier is 1619128360, issued on Sep 30, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Little Rock, AR. The record was last updated on Apr 5, 2022.