MEDICARE: WELL WOMAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1396605788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL WOMAN LLC

Provider Business Mailing Address
First Line	:	200 BLUE BIRD CV
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-4770
Country	:	US
Telephone Number	:	870-451-0017
Fax Number	:	901-244-4639

Provider Business Practice Location Address
First Line	:	7401 DOLLARWAY RD STE 101
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-3087
Country	:	US
Telephone Number	:	870-489-6417
Fax Number	:	901-244-4639

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

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

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Directions to “WELL WOMAN LLC ” Practice Location

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