Individual
MRS. STACY CARMEN RESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
924 STATE HIGHWAY 77, MARION, AR 72364-9004
(870) 739-8670
(870) 739-8706
Mailing address
924 STATE HIGHWAY 77, MARION, AR 72364-9004
(870) 739-8670
(870) 739-8706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17578
TN
363LF0000X
Family Nurse Practitioner
Primary
A004774
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214841758
—
AR
Enumeration date
04/29/2013
Last updated
04/14/2020
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