Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Everlife Family and Functional Medicine Clinic LLC

Organization Primary Care Clinic/Center · NPI 1295608461

Everlife Family and Functional Medicine Clinic LLC is a Primary Care Clinic/Center in Slidell, Louisiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1290 7th St Ste 8
Slidell, LA 70458-2042
Phone: (985) 251-2562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1295608461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Wallace — Fnp/Owner · (985) 251-2562
NPI enumeratedSeptember 24, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address121 Soniat St, Slidell, LA 70461-2819

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