Wilbanks, Stacy Leann
Wilbanks, Stacy Leann is an individual health care provider with primary practice located at 1111 Windover Rd , Jonesboro AR 72401-6159. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wilbanks, Stacy Leann can be contacted via phone (870) 936-8000.Contact Information
Primary practice address
1111 Windover Rd
Jonesboro AR 72401-6159
Phone: (870) 936-8000
Fax: (870) 336-3214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E-4415 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E4415 | Arkansas |
Profile Details
| NPI number | 1336203348 |
|---|---|
| LBN Legal business name | Wilbanks, Stacy Leann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Oct 18th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336203348 | NPPES |
| Arkansas | MEDICAID | 166880001 |
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