MEDICARE: MRS. PAMELA YVONNE SHERMAN NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	A003562	AR
2	363LA2100X	Acute Care Nurse Practitioner	A03562 ANP	AR

General Provider Information

NPI Number	:	1548547557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA YVONNE SHERMAN NP

Provider Business Mailing Address
First Line	:	4300 W 7TH ST
Second Line	:	118COS/LR
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-5446
Country	:	US
Telephone Number	:	501-257-5350
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 W 7TH ST
Second Line	:	118COS/LR
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-5446
Country	:	US
Telephone Number	:	501-257-5350
Fax Number	:	501-257-5328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2011
Last Update Date	:	01/16/2026

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