Individual
STACIA RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11201 NORTHFIELD CT, FORT SMITH, AR 72916-9126
(479) 227-0116
Mailing address
11201 NORTHFIELD CT, FORT SMITH, AR 72916-9126
(479) 227-0116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R096409
AR
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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