Samantha Jo Stovall, APRN, NP-C | |
534 Luzerne St, Mount Ida, AR 71957-9449 | |
(888) 710-8220 | |
(866) 573-0761 |
Full Name | Samantha Jo Stovall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 534 Luzerne St, Mount Ida, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720648702 | NPI | - | NPPES |
236788758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A006267 (Arkansas) | Primary |
Entity Name | Healthy Connections, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588646491 PECOS PAC ID: 9931018421 Enrollment ID: O20040106000555 |
Entity Name | Access Medical Clinic Arkansas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
Mailing Address | Practice Location Address |
---|---|
Samantha Jo Stovall, APRN, NP-C Po Box 1848, Mena, AR 71953-1841 Ph: (479) 437-3449 | Samantha Jo Stovall, APRN, NP-C 534 Luzerne St, Mount Ida, AR 71957-9449 Ph: (888) 710-8220 |
Heather N Funderburk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 Fax: 870-867-4050 | |
Stacie L Hipp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 | |
Lori D Fortner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 Fax: 870-867-4050 | |
Amy Stvartak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 |