EVERLIFE FAMILY AND FUNCTIONAL MEDICINE CLINIC LLC
NPI 1295608461
Nurse Practitioner - Family in Slidell, LA

Q: What is Everlife Family And Functional Medicine Clinic LLC's specialty?

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

Active since September 24, 2025

1290 7TH ST STE 8, SLIDELL, LA 70458(985) 251-2562 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Everlife Family And Functional Medicine Clinic Llc NPPES

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

EVERLIFE FAMILY AND FUNCTIONAL MEDICINE CLINIC LLC (NPI 1295608461) is a healthcare organization registered as a family in Slidell, Louisiana and active in the NPI registry since September 2025. The organization lists Stephanie Wallace, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1295608461

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameEVERLIFE FAMILY AND FUNCTIONAL MEDICINE CLINIC LLC

Location Address1290 7TH ST STE 8Slidell, LA 70458-2042

Mailing Address121 Soniat StSlidell, LA 70461-2819 · (985) 251-2562

Phone(985) 251-2562

Organization SubpartNo

Authorized OfficialStephanie WallaceFnp/owner · (985) 251-2562

Enumeration DateSeptember 24, 2025

Last NPPES UpdateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1295608461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

1290 7TH ST STE 8, Slidell, LA 70458

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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.

HEALING HANDS: NPS 2 YOU LLC

Nurse Practitioner (Family)

1290 7TH ST STE 8
SLIDELL, LA 70458

St. Tammany Parish (985) 251-2562

MRS. STEPHANIE WALLACE FNP-BC, FNP-C

Nurse Practitioner (Family)

1290 7TH ST STE 8
SLIDELL, LA 70458

St. Tammany Parish (985) 251-2562

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 Everlife Family And Functional Medicine Clinic LLC's NPI number?

The NPI number for Everlife Family And Functional Medicine Clinic LLC is 1295608461. It was assigned to this organization in the NPPES registry on September 24, 2025.

Where is Everlife Family And Functional Medicine Clinic LLC located?

Everlife Family And Functional Medicine Clinic LLC is located at 1290 7th St Ste 8, Slidell, LA 70458. The listed phone number is (985) 251-2562.

What is Everlife Family And Functional Medicine Clinic LLC'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 Everlife Family And Functional Medicine Clinic LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.