Individual
MRS. STACY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
525 WESTERN AVE STE 304, CONWAY, AR 72034-4981
(501) 327-7555
(501) 327-9466
Mailing address
525 WESTERN AVE STE 304, CONWAY, AR 72034-4981
(501) 327-7555
(501) 327-9466
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A03027
AR
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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