Healthcare Provider Details

I. General information

NPI: 1841911831
Provider Name (Legal Business Name): DEEANN SUE SUTTER APRN , PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 W NEWMAN AVE
HARRISON AR
72601-5839
US

IV. Provider business mailing address

700 N 40TH ST STE B
SPRINGDALE AR
72762-0633
US

V. Phone/Fax

Practice location:
  • Phone: 479-318-2828
  • Fax:
Mailing address:
  • Phone: 479-318-2828
  • Fax: 479-318-2683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number219276
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: