Individual
STEPHANIE EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1010 N CENTER ST, LONOKE, AR 72086-2005
(501) 438-8075
(870) 895-2164
Mailing address
4196 HIGHWAY 62 412, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221288
AR
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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