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Individual

STACY L REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
120 ADCOCK RD STE A, HOT SPRINGS, AR 71913
(501) 651-4500
(501) 651-4510
Mailing address
1661 AIRPORT RD STE D, HOT SPRINGS, AR 71913-8184
(501) 625-7500
(501) 625-7777

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004638
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212614758
AR
Enumeration date
02/03/2016
Last updated
05/18/2018
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