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Everwell Collective PLLC

Nurse Practitioner, Family in Van Buren, AR. Organization (NPI-2).

NPI number1912838947
StatusActive
Last updated in NPPESMay 27, 2026

Details

NPI
1912838947
Entity type
Organization (NPI-2)
Legal business name
Everwell Collective PLLC
Organization subpart
No
Enumeration date
May 27, 2026
Certification date
May 27, 2026
Last updated
May 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
363LP2300X Nurse Practitioner, Primary Care––

Practice location

1203 Lisa Ln
Van Buren, AR 72956-2749

Phone 479-653-0493 · Fax 479-653-0493

Mailing address

1203 Lisa Ln
Van Buren, AR 72956-2749

Phone 479-653-0493 · Fax 479-653-0493

Authorized official

Stephanie Marcom
Family Nurse Practitioner
4796530493

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