# STACY WILBANKS MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891231403
- **Authorized official:** STACY LEANN WILBANKS M.D. (SOLE MBR)
- **Authorized official phone:** (870) 926-0748

## Contact information

- **Practice address:** 3100 SOUTHERN HILLS LN, JONESBORO, AR 72401-8048
- **Practice address phone:** (870) 926-0748
- **Mailing address:** 3100 SOUTHERN HILLS LN, JONESBORO, AR 72401-8048
- **Mailing address phone:** (870) 926-0748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E4415 | AR | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/25/2017