Individual provider · Type 1 NPI

Sasha Renae Domerese, NP-C

Nurse Practitioner · Clarksville, AR

NPI number 1861956922 Active

Practice location

25 Professional Park Dr
Clarksville, AR 72830

Call (479) 705-8181 Map

Fax (479) 705-0041

Other practice locations

  • 1100 E Poplar St, Clarksville, AR 72830-4419 · (479) 754-5454
  • 1100 E Poplar St, Clarksville, AR 72830-4419 · (479) 754-5454

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XA006062 (AR)
Nurse Practitioner Primary 363L00000XA006062 (AR)

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…

8 other providers at this address

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About NPI 1861956922

Sasha Renae Domerese, NP-C's National Provider Identifier is 1861956922, issued on Jan 23, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clarksville, AR. The record was last updated on Aug 11, 2026.