Individual
MRS. AMY LOUISE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1910 MOCKINGBIRD LN, SUITE B & C, PARAGOULD, AR 72450-5806
(870) 240-0671
(870) 240-0514
Mailing address
204 NORTH 18.5 AVENUE, PARAGOULD, AR 72450
(870) 236-9358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L42417
AR
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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