Individual
STEPHANIE R MARCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 208-4601
Mailing address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 208-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
228729
AR
Other
Enumeration date
02/20/2024
Last updated
05/21/2024
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