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Stacy Graham
Family Nurse Practitioner in Maumelle, Arkansas
NPI 1245699024

Stacy Graham is a Family Nurse Practitioner based in Maumelle, AR and is specialized in Family. Stacy Graham practices in Maumelle, AR. The NPI Number for Stacy Graham is 1245699024 and holds a License No. A004680 (Arkansas).

The current practice location address for Stacy Graham is 17 Saint Thomas Dr, Maumelle, AR and can be reached out via phone at 501-912-2362.

Location: 17 Saint Thomas Dr, Maumelle, AR, 72113-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245699024
Provider Name
Stacy Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Saint Thomas Dr, Maumelle, AR, 72113-7003
Phone Number
501-912-2362
Fax Number
Provider Enumeration Date
02/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Saint Thomas Dr
City
Maumelle
State
Arkansas
Zip
72113-7003
Phone Number
501-912-2362
Fax Number
person
Provider Business Mailing Address Details
Address
17 Saint Thomas Dr
City
Maumelle
State
Arkansas
Zip
72113-7003
Phone Number
501-912-2362
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A004680 (Arkansas)
Definition
Definition to come...
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