Healthcare Provider Details

I. General information

NPI: 1710513924
Provider Name (Legal Business Name): STEPHANIE BURNETT APRN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13910 OLD MAUMELLE RD
NORTH LITTLE ROCK AR
72113-9004
US

IV. Provider business mailing address

13910 OLD MAUMELLE RD
NORTH LITTLE ROCK AR
72113-9004
US

V. Phone/Fax

Practice location:
  • Phone: 501-765-8390
  • Fax: 866-882-3483
Mailing address:
  • Phone: 501-765-8390
  • Fax: 866-882-3483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE BURNETT
Title or Position: OWNER
Credential: APRN
Phone: 501-765-8390