STEPHANIE EDMONDSON APRN NPI 1073212585

NPI Information

  • NPI: 1073212585
  • Provider Name: STEPHANIE EDMONDSON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1792 E JOYCE BLVD STE 1
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (501) 500-5001

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NPI Details

Stephanie Edmondson, APRN is a family nurse practitioner in Fayetteville, AR with 3 years of experience. Stephanie Edmondson, APRN NPI is 1073212585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1792 E JOYCE BLVD STE 1
FAYETTEVILLE, AR
ZIP 72703-255
Phone: (501) 500-5001
Fax: (501) 500-5008

The NPI 1073212585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2023 and was last updated on 5/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily223478ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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