Stephanie Glenn, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

215156 Issued in AR

Practice address

558 Atkins Blvd
Marianna, AR 72360-2113

Phone

(870) 298-4258

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lee County Cooperative ClinicGroup PAC ID 8921917204, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest City Medical Center Hospital, Forrest City, AR, CCN 040019
• Helena Regional Medical Center Hospital, Helena, AR, CCN 040781

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Marianna, AR
  • NPI 1669480836

  AR

  Medicare reassignment Care Compare group NPD
• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Wabash, AR
  • NPI 1356359442
  NPD
• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Madison, AR
  • NPI 1679581532
  NPD
• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Hughes, AR
  • NPI 1134137219
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest City Arkansas Hospital Company LLC

  • General Acute Care Hospital
  • Forrest City, AR
  • NPI 1811912009

  Hospital

  Care Compare affiliation
• Phillips Hospital Company LLC

  • Rural Acute Care Hospital
  • Helena, AR
  • NPI 1154392090

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1457930497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602113",
            "telephone_number": "870-295-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602113",
            "telephone_number": "870-298-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "AR",
            "license": "PMH08260022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Counseling & Diagnostic Clinic
• Laura Beth Felton, LPC, BCBA
• Corey Foreman
• Tammekia Shandra Fraction, MS, CCC-SLP
• Kyleigh Glass, RDN
• Kellie Hardesty Griffith, OTR/L
• Ariel Patrice Harrell
• Sonya Hazel, RN
• Health Resources of Arkansas
• Shiriayah Israel, RRT

• Family Nurse Practitioner in Marianna, AR
• Providers in Marianna, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.