Individual
STEPHANIE KAROL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O
Contact information
Practice address
243 BLYTHE RD, GREENBRIER, AR 72058-9719
(501) 425-9295
Mailing address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 255-6000
(501) 255-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005407
AR
Other
Enumeration date
11/03/2017
Last updated
03/21/2018
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