Healthcare Provider Details

I. General information

NPI: 1659844702
Provider Name (Legal Business Name): STEPHANIE YOUNG MSN, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE BARTLETT

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6144 HIGHTWAY 5 N SUITE 700
BRYANT AR
72022-8802
US

IV. Provider business mailing address

6144 HIGHWAY 5 N SUITE 700
BRYANT AR
72022-8802
US

V. Phone/Fax

Practice location:
  • Phone: 501-653-7665
  • Fax: 501-512-3154
Mailing address:
  • Phone: 501-653-7665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA005882
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: