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

Individual provider Family Nurse Practitioner · NPI 1780273250

Soutnakhon Phandanouvong, APRN is a Nurse Practitioner in Fort Smith, Arkansas. Qualified in 2024, 2 years ago. Practices with Urgent Team of Arkansas Physicians LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4300 Grand Ave
Fort Smith, AR 72904-7028
Phone: (479) 208-4601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 214525 (AR)

Record details

NPI number1780273250
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 11, 2021
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Urgent Team Of Arkansas Physicians Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Smith