Stacey Bankston

NPI 1093041048 · on the registry since 2009

Practice

Address: 6400 Trinity Dr
Pine Bluff, AR 71603
Phone: (870) 879-0638
Organisation at this address: Trinity Village, Inc
Trinity Village, Inc.
Trinity Village,Inc. Doing Business As Trinity Village Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas