SHANNON WYATT APRN NPI 1285112755

NPI Information

  • NPI: 1285112755
  • Provider Name: SHANNON WYATT, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 10700 N RODNEY PARHAM RD STE C11
    LITTLE ROCK, AR
    ZIP 72212
  • Phone: (501) 414-0438

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NPI Details

Shannon Wyatt, APRN is a family nurse practitioner in Little Rock, AR. Shannon Wyatt, APRN NPI is 1285112755. 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:

10700 N RODNEY PARHAM RD STE C11
LITTLE ROCK, AR
ZIP 72212-110
Phone: (501) 414-0438

The enumeration date for this NPI number is 8/6/2018 and was last updated on 8/6/2018.

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
1363LF0000XNurse PractitionerFamilyA005673ARKANSASYes

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: 3/30/2025

NPI Synchronization or Removal

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