Healthcare Provider Details

I. General information

NPI: 1598313686
Provider Name (Legal Business Name): EMMA ELAINE STEWART APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2019
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 TRINITY DR
HOPE AR
71801-3621
US

IV. Provider business mailing address

405 W 16TH ST STE A
HOPE AR
71801-7104
US

V. Phone/Fax

Practice location:
  • Phone: 870-722-1020
  • Fax:
Mailing address:
  • Phone: 870-777-0007
  • Fax: 870-895-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number122048
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: