Kim Jaquish
RNP | Nurse Practitioner - Gerontology
1500 Dodson Ave, Ste 125, Fort Smith
Arkansas, 72901-5182
479-573-7960
Kim Jaquish is a Fort Smith, Arkansas based nurse practitioner who is specialized as Gerontology nurse. Active license number of Kim Jaquish is P01373 for Gerontology in Arkansas. Her current practice location is 1500 Dodson Ave, Ste 125, Fort Smith. Patients can reach her at 479-573-7960 or can fax her at 479-573-7961. Kim Jaquish is RNP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1245228485.
Kim Jaquish is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Kim Jaquish speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kim Jaquish |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | RNP |
| Practice Address: | 1500 Dodson Ave, Ste 125, Fort Smith,
Arkansas, 72901-5182 |
| Phone: | 479-573-7960 |
| Fax: | 479-573-7961 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1245228485 |
| NPI Enumeration Date: | 12 Oct, 2005 |
| NPI Last Update On: | 27 Aug, 2010 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kim Jaquish are as mentioned below.
| License Number | Specialization | State | Status | |
| P01373 | Gerontology | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kim Jaquish such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 155652741 | Medicaid | Arkansas | |
| 100013980A | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kim Jaquish
Po Box 402319,
Atlanta, Georgia |
| Zip: | 30384-2319 |
| Phone Number: | 479-709-7399 |
| Fax Number: | 479-709-7053 |
Patients can reach Kim Jaquish at
1500 Dodson Ave, Ste 125, Fort Smith, Arkansas or can
call to book an appointment on 479-573-7960.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.