Healthcare Provider Details

I. General information

NPI: 1396605788
Provider Name (Legal Business Name): WELL WOMAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
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

200 BLUE BIRD CV
WHITE HALL AR
71602-4770
US

V. Phone/Fax

Practice location:
  • Phone: 870-489-6417
  • 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 Number
License Number State

VIII. Authorized Official

Name: BRITTANY MARIE STEPHENS
Title or Position: OWNER/FAMILY NURSE PRACTITIONER
Credential: FNP-C
Phone: 870-489-6417