Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sb Dermatology PLLC

Organization Nurse Practitioner · NPI 1629981790

Sb Dermatology PLLC provides Nurse Practitioner services in Fayetteville, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
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

324 N College Ave Rm 201
Fayetteville, AR 72701-4203
Phone: (479) 287-9978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1629981790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Blackmon — Member · (479) 287-9978
Other names Elite Dermatology Collective
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 27, 2026
Mailing addressPo Box 8431, Fayetteville, AR 72703-0008

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