Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Michelle Hickmon, APRN

Individual provider Family Nurse Practitioner · NPI 1053907931

Stephanie Michelle Hickmon, APRN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2018, 8 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

9500 Kanis Rd
Little Rock, AR 72205-6324
Phone: (012) 279-0805
Fax: (501) 227-0410
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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 A005799 (AR)

Record details

NPI number1053907931
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 15, 2020
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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