Individual
KATIE STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 994-7301
(870) 994-7488
Mailing address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 994-7301
(870) 994-7488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A004810
ARKANSAS NURSING BOARD
AR
Enumeration date
06/30/2016
Last updated
06/30/2016
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