Individual
MR. JOHNNY MAC STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3101 SE 14TH ST STE B, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Mailing address
3101 SE 14TH ST STE B, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004282
AR
Other
Enumeration date
01/16/2015
Last updated
12/06/2022
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