Organization · Type 2 NPI

Elite Dermatology Collective LLC

Nurse Practitioner · Fayetteville, AR

NPI number 1144134222 Active

Practice location

324 N College Ave
Fayetteville, AR 72701-4203

Mailing address

PO Box 8431
Fayetteville, AR 72703-0008

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144134222

Elite Dermatology Collective LLC's National Provider Identifier is 1144134222, issued on Sep 28, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, AR. The record was last updated on Sep 28, 2026.