Organization · Type 2 NPI

Revive Health and Wellness of Arkansas, PLLC

Family Nurse Practitioner · Little Rock, AR

NPI number 1548935646 Active

Practice location

8114 Cantrell Rd Ste 201
Little Rock, AR 72227-2504

Fax (501) 222-8034

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Lindsey Jane Ponwith, APRNFamily Nurse Practitioner Little Rock, AR NPI 1104122803

Other family nurse practitioner providers in Little Rock

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NPI record

NPI: 1548935646
Entity type: Organization (Type 2)
Issued: Aug 11, 2021
Last updated: Sep 21, 2026
Status: Active

Other names

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Revive Lifestyle Medicine · doing business as
Revive Lifestyle Medicine · doing business as

Authorized official

Lindsey Ponwith, APRN
MNG Member
(501) 779-8554

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548935646

Revive Health and Wellness of Arkansas, PLLC's National Provider Identifier is 1548935646, issued on Aug 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Little Rock, AR. The record was last updated on Sep 21, 2026.