Individual
STEPHANIE LUCILLE CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
326 LEE RD # 601, BRICKEYS, AR 72320-8000
(870) 295-4700
Mailing address
326 LEE RD # 601, BRICKEYS, AR 72320-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A005565
AR
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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