Provider Demographics
NPI:1467763110
Name:RAGSDALE, STEPHANIE ANN (ANP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANN
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ADCOCK RD A
Mailing Address - Street 2:FIRST CARE WALK-IN CLINIC
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7958
Mailing Address - Country:US
Mailing Address - Phone:501-651-4500
Mailing Address - Fax:
Practice Address - Street 1:4517 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-9476
Practice Address - Country:US
Practice Address - Phone:501-623-7900
Practice Address - Fax:501-623-7337
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily