Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Board Certified Family Practice

Organization Family Medicine Physician · NPI 1336358407

Board Certified Family Practice is a Family Medicine Physician in Blytheville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007

Practice location Address checks out

527 N Sixth St
Blytheville, AR 72315-2790
Phone: (870) 763-4541
Fax: (870) 762-2390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AR)

Record details

NPI number1336358407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Smith — Office Manager · (870) 763-7695
NPI enumeratedMay 22, 2007
Last updated in NPPESMarch 3, 2014
Mailing address527 Norht Sixth St, Blytheville, AR 72315-2790

Other providers in Blytheville