Individual
STEPHANIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5803 W MURFIELD DR, ROGERS, AR 72758-4565
(479) 650-9745
Mailing address
5803 W MURFIELD DR, ROGERS, AR 72758-4565
(479) 650-9745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123740
AR
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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