Individual
MORGAN UPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2211 MAIN DR, FAYETTEVILLE, AR 72704-5292
(479) 485-1215
Mailing address
6603 SW HEARTBEAT ST, BENTONVILLE, AR 72713-3290
(904) 403-4620
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
230494
AR
174N00000X
Lactation Consultant (Non-RN)
Primary
L-310200
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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