Individual
STEPHANIE METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
25 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 705-8181
(479) 705-0041
Mailing address
25 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 705-8181
(479) 705-0041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A003339
AR
363LF0000X
Family Nurse Practitioner
Primary
A03339
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03339
LICENSE
AR
Enumeration date
06/10/2010
Last updated
05/14/2020
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