Individual
MRS. STEPHANIE ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 BROADWAY ST, VAN BUREN, AR 72956-5830
(479) 474-5061
Mailing address
620 BROADWAY ST, VAN BUREN, AR 72956-5830
(479) 474-5061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AR1162
AR
Other
Enumeration date
08/20/2007
Last updated
08/09/2012
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