Individual
STACIE L HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 LUZERNE ST, MOUNT IDA, AR 71957-9437
(870) 867-2175
Mailing address
2819 HIGHWAY 27 S, MOUNT IDA, AR 71957-9516
(870) 489-3847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005086
AR
Other
Enumeration date
05/11/2017
Last updated
08/01/2022
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