Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Ann Moser, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1265058804

Stephanie Ann Moser, NURSEPRACTITIONER is a Nurse Practitioner in Southside, Arkansas. Qualified in 2019, 7 years ago. Practices with Bradley Bibb MD PLLC, a 72-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2020
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Practice location Address checks out

36 Red Bud Dr
Southside, AR 72501-8049
Phone: (879) 262-9302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 125283 (AR)

Record details

NPI number1265058804
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bradley Bibb Md Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southside