Individual
CHASTITY QG STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 452-5847
Mailing address
2607 ALFORD CV, BRYANT, AR 72022-7527
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
124190
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
03/03/2020
Last updated
04/15/2024
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