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General NPI Number Information
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NPI Number | 1396605788
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Entity Type | Organization
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Legal Business Name | WELL WOMAN LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 7401 DOLLARWAY RD STE 101
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City | WHITE HALL
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State | AR
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Zip | 71602-3087
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Country | US
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Telephone | 870-489-6417
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Fax | 901-244-4639
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Provider Business Mailing Address
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Address Line | 200 BLUE BIRD CV
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City | WHITE HALL
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State | AR
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Zip | 71602-4770
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Country | US
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Telephone | 870-451-0017
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Fax | 901-244-4639
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Authorized Official
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Title or Position | OWNER/FAMILY NURSE PRACTITIONER
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Name | BRITTANY MARIE STEPHENS
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Credential | FNP-C
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Telephone | 870-489-6417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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