| 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 Incorporated |
|---|---|
| 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: 479-234-4445 | |
Amy Stvartak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 |