Stacy Wilbanks MD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4415 Issued in AR

Legal business name

STACY WILBANKS MD PLC

Practice address

3100 Southern Hills LN
Jonesboro, AR 72401-8048

Phone

(870) 926-0748

NPI assigned

Jan 6, 2017

Last updated

Jan 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Leann Wilbanks, M.D.

Title

Sole MBR

Phone

(870) 926-0748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1891231403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SOUTHERN HILLS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018048",
            "telephone_number": "870-926-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SOUTHERN HILLS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018048",
            "telephone_number": "870-926-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY WILBANKS MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "WILBANKS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "870-926-0748",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T St. Clair Jr.
• Angela St. Pierre, LCSW
• Jackson Lee St. Pierre, DO
• St.Bernards Imaging Center
• St.Bernards Pet Center LLC
• Lindsey Stacy, APRN
• Toby A Stacy, CRNA
• Kallie Stafford, OT
• Myles Stafford
• Heather Stahl

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.