Individual
STACY L NORTH-FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1420 S I ST, FORT SMITH, AR 72901
(479) 784-0990
(479) 784-0948
Mailing address
1200 FORT ST, BARLING, AR 72923-2013
(479) 782-0244
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A005574
AR
363LG0600X
Gerontology Nurse Practitioner
A005574
AR
Other
Enumeration date
03/15/2018
Last updated
08/17/2018
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