Healthcare Provider Details

I. General information

NPI: 1265532899
Provider Name (Legal Business Name): SHARI EICKMEYER MSN, APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARI WELLS

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 POWDER FORK RD
BALD KNOB AR
72010-9100
US

IV. Provider business mailing address

2205 DANIEL DR
SEARCY AR
72143-3082
US

V. Phone/Fax

Practice location:
  • Phone: 501-207-1553
  • Fax: 501-429-4377
Mailing address:
  • Phone: 501-207-1553
  • Fax: 949-864-3586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA001935
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: