SHANNON WYATT APRN
NPI 1285112755
Nurse Practitioner - Family in Little Rock, AR

Q: What is Shannon Wyatt's NPI number?

The NPI number for Shannon Wyatt is 1285112755. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Q: What is Shannon Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Wyatt was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2018

10700 N RODNEY PARHAM RD STE C11, LITTLE ROCK, AR 72212(501) 414-0438 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Wyatt Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON WYATT APRN (NPI 1285112755) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (A005673) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1285112755

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON WYATTCredential: APRN

Location Address10700 N RODNEY PARHAM RD STE C11Little Rock, AR 72212-4110

Mailing Address3408 Rushwood CvBenton, AR 72019-9373

Phone(501) 414-0438

Sole ProprietorYes

Enumeration DateAugust 6, 2018

✔ NPI 1285112755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005673

10700 N RODNEY PARHAM RD STE C11, Little Rock, AR 72212

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SIMONE DENAE MILTON APRN

Nurse Practitioner (Family)

10700 N RODNEY PARHAM RD STE C11
LITTLE ROCK, AR 72212

Pulaski County (501) 414-0438

LITTLE ROCK GROUP HEALTH, LLC

Clinic/Center (Primary Care)

10700 N RODNEY PARHAM RD STE C11
LITTLE ROCK, AR 72212

Pulaski County (281) 429-8526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Wyatt's NPI number?

The NPI number for Shannon Wyatt is 1285112755. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Shannon Wyatt located?

Shannon Wyatt practices at 10700 N Rodney Parham Rd Ste C11, Little Rock, AR 72212. The listed phone number is (501) 414-0438.

What is Shannon Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Wyatt was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.