PATRICIA ELLEN SHEPPARD APRN NPI 1740649920

NPI Information

NPI: 1740649920
Provider Name: PATRICIA ELLEN SHEPPARD, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC

PECOS Registration: Yes

Address:
3400 SE MACY
BENTONVILLE, AR
ZIP 72712
Phone: (479) 845-0880
Get Directions

Patricia Ellen Sheppard, APRN is a family nurse practitioner in Bentonville, AR with 9 years of experience. Patricia Ellen Sheppard, APRN NPI is 1740649920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SE MACY
BENTONVILLE, AR
ZIP 72712
Phone: (479) 845-0880
Fax: (479) 845-0887

The NPI 1740649920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 7/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A004612	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213490758	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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