Individual
MS. STEPHANIE N TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R67799
AR
Other
Enumeration date
04/23/2009
Last updated
02/05/2020
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