Individual
MS. STEPHANIE LANELL BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2796 S 2ND ST STE E, CABOT, AR 72023-7043
(501) 286-6086
Mailing address
21415 CHISM DR, NORTH LITTLE ROCK, AR 72113-9705
(501) 765-8390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
121996
AR
Other
Enumeration date
09/26/2019
Last updated
03/19/2020
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