MRS. JACQUELINE GOLDSMITH PHILLIPS (NPI# 1356502710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356502710 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE GOLDSMITH PHILLIPS |
| Credential | APN |
| Practice Address |
7215 Cameron Park Dr Fort Smith AR 72903-6167 |
| Practice Telephone | 4794343431 |
| Mailing Telephone | 4794343431 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AO3121ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609269158 | Jacqueline Eileen Phillips | Nurse Practitioner | 1624 Library Ln Ste C, Minden, NV 89423-4476 | 2015-03-09 |
| 1396144598 | Jacqueline Phillips | Specialist/Technologist | 5485 Mcginnis Ct, Doylestown, PA 18902-1371 | 2014-08-14 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1619525268 | Jacqueline Phillips | Registered Nurse | 2595 S Cimarron Rd Ste 107, Las Vegas, NV 89117-2697 | 2019-08-27 |
| 1053861344 | Jacqueline Joy Phillips | Specialist | 561 Route 9w, Piermont, NY 10968-1116 | 2016-10-11 |
| 1730532276 | Jacqueline Phillips | Pharmacist | 118 Choctaw Dr, Hendersonville, TN 37075-4642 | 2016-07-20 |
| 1356741706 | Jacqueline Elise Marie Phillips | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2014-09-03 |
| 1073912895 | Jacqueline Phillips | Specialist/Technologist | 1216 Ordean Ct, 170 Sports & Health Center, Duluth, MN 55812-3032 | 2014-08-18 |
| 1508107459 | Jacqueline Rene Phillips | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Suite 110, Las Vegas, NV 89128-0811 | 2013-03-01 |
| 1811204928 | Jacqueline Marie Phillips | Internal Medicine | 1533 S Brownlee Blvd, Ste 100, Corpus Christi, TX 78404-3131 | 2010-09-10 |
| Street Address |
7215 CAMERON PARK DR |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-6167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376023697 | Premise Health of Arkansas Medical P A | Clinic/Center | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018350 | Lacey Deshay Kennon | Nurse Practitioner | 7509 Red Pine Dr, Fort Smith, AR 72916-8809 | 2020-06-19 |
| 1275174518 | Michele Holland | Nurse Practitioner | 3300 S 70th St, Fort Smith, AR 72903-5052 | 2019-10-07 |
| 1831740125 | Shannan Deann Souza | Nurse Practitioner | 5901 Riley Park Dr Ste B, Fort Smith, AR 72916-6104 | 2019-09-27 |
| 1851948640 | Mindy Lebarr | Nurse Practitioner | 4850 Leigh Ave, Fort Smith, AR 72903-6018 | 2019-08-26 |
| 1457899338 | Ai-chau Hang Nguyen | Nurse Practitioner | 5428 Ellsworth Rd, Fort Smith, AR 72903-3220 | 2017-02-10 |
| 1558715987 | Amanda Day | Nurse Practitioner | 9207 Highway 71 S Ste 9, Fort Smith, AR 72916-9389 | 2016-04-21 |
| 1659738250 | Dana Kim Pulliam | Nurse Practitioner | 301 S E St Ste A, Fort Smith, AR 72901-4316 | 2016-01-27 |
| 1356716963 | Julie Rowland | Nurse Practitioner | 5100 Rosewood Cir, Fort Smith, AR 72903-7000 | 2015-12-08 |
| 1770712275 | Amy Marie Brown | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2009-07-07 |
| 1750381489 | Carol L Erwin | Nurse Practitioner | 1623 Rogers Ave, Fort Smith, AR 72901 | 2005-07-22 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on MRS. JACQUELINE GOLDSMITH PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.