Individual
STEPHANIE ANN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP PMHNP
Contact information
Practice address
1117 MCLAIN ST, NEWPORT, AR 72112-3500
(870) 495-1260
Mailing address
317 FORREST DR, NEWPORT, AR 72112-4024
(870) 217-3285
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
123318
AR
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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