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

Revive Health and Wellness of Arkansas, PLLC

Organization Family Nurse Practitioner · NPI 1548935646

Revive Health and Wellness of Arkansas, PLLC is a Family Nurse Practitioner in Little Rock, Arkansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8114 Cantrell Rd Ste 201
Little Rock, AR 72227-2504
Phone: (501) 779-8554
Fax: (501) 222-8034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1548935646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsey Gillum — Mng Member · (501) 779-8554
Other names Revive Lifestyle Medicine; Revive Lifestyle Medicine
NPI enumeratedAugust 11, 2021
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022
Mailing address8114 Cantrell Rd Ste 201, Little Rock, AR 72227-2504

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