SHANNON WILLEMS LLC NPI 1467359125

NPI Information

  • NPI: 1467359125
  • Provider Name: SHANNON WILLEMS LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 910 S ROGERS ST STE F
    CLARKSVILLE, AR
    ZIP 72830
  • Phone: (479) 355-5747

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NPI Details

SHANNON WILLEMS LLC is a psychiatric/mental health nurse practitioner in Clarksville, AR. SHANNON WILLEMS LLC NPI is 1467359125. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

910 S ROGERS ST STE F
CLARKSVILLE, AR
ZIP 72830-331
Phone: (479) 355-5747
Fax: (479) 957-9083

The provider's authorized official is Shannon Willems .
The authorized official title is Member and has the following contact phone number (479) 979-7921.

The enumeration date for this NPI number is 10/23/2026 and was last updated on 10/23/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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