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KIM JAQUISH RNP
NPI 1245228485
Nurse Practitioner - Gerontology in Fort Smith, AR

Active since October 12, 2005
1500 DODSON AVE, STE 125, FORT SMITH, AR 72901(479) 573-7960(479) 573-7961 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Jaquish Rnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM JAQUISH RNP (NPI 1245228485) is an individual gerontology provider in Fort Smith, Arkansas, licensed in Arkansas (P01373) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1245228485
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIM JAQUISHCredential: RNP
Location Address1500 DODSON AVE, STE 125Fort Smith, AR 72901-5182
Mailing AddressPo Box 402319Atlanta, GA 30384-2319 · (479) 709-7399 · Fax (479) 709-7053
Phone(479) 573-7960
Fax(479) 573-7961
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 27, 2010
✔ NPI 1245228485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AR · P01373
1500 DODSON AVE, Fort Smith, AR 72901
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN5V417AR
Medicare UPINS98792AR
Medicaid100013980AOK
Medicaid155652741AR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ATHENA FRANGOS-PASLEY APN
Nurse Practitioner (Adult Health)
1500 DODSON AVE
FORT SMITH, AR 72901
Sebastian County (479) 709-6850
ROBERT C PARRIS MD
Internal Medicine (Cardiovascular Disease)
1500 DODSON AVE, STE 60
FORT SMITH, AR 72901
Sebastian County (479) 709-7325
SPARKS MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
1500 DODSON AVE, STE 180
FORT SMITH, AR 72901
Sebastian County (479) 573-7870
SPARKS MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
1500 DODSON AVE, STE 65
FORT SMITH, AR 72901
Sebastian County (479) 441-5475
GARY R. HIGHFILL MD
Otolaryngology
1500 DODSON AVE, STE 260
FORT SMITH, AR 72901
Sebastian County (479) 573-7985
BRANDI E GUTHREY MD
Family Medicine
1500 DODSON AVE, STE 195
FORT SMITH, AR 72901
Sebastian County (479) 573-7910
FT SMITH HMA PBC MANAGEMENT, LLC
Family Medicine
1500 DODSON AVE, SUITE 125
FORT SMITH, AR 72901
Sebastian County (479) 573-7960
FT SMITH HMA PHYSICIAN MANAGEMENT, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DODSON AVE, SUITE 285
FORT SMITH, AR 72901
Sebastian County (479) 573-7970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Jaquish's NPI number?

The NPI number for Kim Jaquish is 1245228485. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Kim Jaquish located?

Kim Jaquish practices at 1500 Dodson Ave Ste 125, Fort Smith, AR 72901. The listed phone number is (479) 573-7960.

What is Kim Jaquish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kim Jaquish was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.