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

Fallon E Wyatt

Individual provider Family Nurse Practitioner · NPI 1093191819

Fallon E Wyatt is a Nurse Practitioner in Marion, Arkansas. Qualified in 2015, 11 years ago. Practices with Vital Wellness Clinic LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2015

Practice location Address checks out

4001 Commercial Center Dr Ste 1
Marion, AR 72364-9616
Phone: (901) 496-0071
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A004461 (AR)

Record details

NPI number1093191819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 8, 2020
Mailing address4001 Commercial Center Dr Ste 1, Marion, AR 72364-9616

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Vital Wellness Clinic Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Marion