Healthcare Provider Details

I. General information

NPI: 1003541327
Provider Name (Legal Business Name): BRITTANY STEPHENS APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 DOLLARWAY RD STE 101
WHITE HALL AR
71602-3087
US

IV. Provider business mailing address

7401 DOLLARWAY RD STE 101
WHITE HALL AR
71602-3087
US

V. Phone/Fax

Practice location:
  • Phone: 870-451-0017
  • Fax: 901-244-4639
Mailing address:
  • Phone: 870-451-0017
  • Fax: 901-244-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221239
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: