Individual
STACIA GALLION
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4808E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-7000
(870) 934-3677
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01861
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159864758
—
AR
Enumeration date
04/26/2006
Last updated
10/27/2015
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