Individual
STACI L HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
2708 RIFE MEDICAL LN STE 200, ROGERS, AR 72758-1452
(479) 338-3080
(479) 338-3089
Mailing address
2708 RIFE MEDICAL LN STE 200, ROGERS, AR 72758-1452
(479) 338-3080
(479) 338-3089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01765
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158379758
—
AR
05
—
200074830A
—
OK
01
—
P00421524
RR MCR
AR
Enumeration date
02/13/2006
Last updated
08/21/2012
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