Provider Demographics
NPI:1871032003
Name:EVERHART, APRIL NICOLE (APRN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
Last Name:EVERHART
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 HIGHWAY 274
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-7109
Mailing Address - Country:US
Mailing Address - Phone:870-390-4245
Mailing Address - Fax:833-471-2974
Practice Address - Street 1:234 HIGHWAY 274
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-7109
Practice Address - Country:US
Practice Address - Phone:870-390-4245
Practice Address - Fax:833-471-2974
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARA005052OtherARKANSAS APRN LICENSE