| NPI | 1912838947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARCOM Family Nurse Practitioner 479-653-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |