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NPI Code Detail

MEDICARE: REBECCA ELLEN STEWART APRN, FNP-C

MEDICARE: REBECCA ELLEN STEWART APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR041145AR
2363LF0000XFamily Nurse Practitioner222391AR
3363L00000XNurse Practitioner222391AR
4163WW0000XWound Care Registered NurseR041145AR

General Provider Information

NPI Number : 1407552557
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ELLEN STEWART APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 1996
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-1996
Country : US
Telephone Number : 479-616-0690
Fax Number :
Provider Business Practice Location Address
First Line : 27 W TOWNSHIP ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-2821
Country : US
Telephone Number : 479-900-5692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2023
Last Update Date : 02/23/2026

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