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

Kim Jaquish, RNP

Individual provider Gerontology Nurse Practitioner · NPI 1245228485

Kim Jaquish, RNP is a Gerontology Nurse Practitioner in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005

Practice location Address checks out

1500 Dodson Ave Ste 125
Fort Smith, AR 72901-5182
Phone: (479) 573-7960
Fax: (479) 573-7961
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence P01373 (AR)

Record details

NPI number1245228485
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNP
Sole proprietorNo
NPI enumeratedOctober 12, 2005
Last updated in NPPESAugust 27, 2010
Mailing addressPo Box 402319, Atlanta, GA 30384-2319

Other providers in Fort Smith