MEDICARE: SHARI ANN EICKMEYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1861356040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARI ANN EICKMEYER

Provider Business Mailing Address
First Line	:	2205 DANIEL DR
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-3082
Country	:	US
Telephone Number	:	501-207-1553
Fax Number	:	949-864-3586

Provider Business Practice Location Address
First Line	:	2205 DANIEL DR
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-3082
Country	:	US
Telephone Number	:	501-207-1553
Fax Number	:	949-864-3586

Authorized Official
Title or Position	:	OWNER/ NURSE PRACTITIONER
Name	:	SHARI EICKMEYER
Credential	:	APRN
Telephone Number	:	501-207-1553

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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