Healthcare Provider Details

I. General information

NPI: 1538020516
Provider Name (Legal Business Name): UP MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11524 N RODNEY PARHAM RD STE 8
LITTLE ROCK AR
72212-4169
US

IV. Provider business mailing address

11524 N RODNEY PARHAM RD STE 8
LITTLE ROCK AR
72212-4169
US

V. Phone/Fax

Practice location:
  • Phone: 501-502-5121
  • Fax:
Mailing address:
  • Phone: 501-502-5121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICHOLE BREANNE MCLEMORE
Title or Position: OWNER, PROVIDER
Credential: APRN
Phone: 501-424-7068