MISS JO ANN CLAY (NPI# 1003843277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003843277 |
| Entity Type | Individual |
| Full Name | MISS JO ANN CLAY |
| Other Name | JO ANN COLLIE |
| Credential | MSN, CNS, APN |
| Practice Address |
680 Hogan Ln Conway AR 72034-8131 |
| Practice Telephone | 5015058900 |
| Practice Fax Number | 5015058901 |
| Mailing Telephone | 5015058900 |
| Mailing Fax Number | 5015058901 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN 05 3165 | LA | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
B48862 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
501093 CNS | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN | 787856000 | 01 | |
| COMPSYCH | 255804 | 01 | |
| UBH | 281471 | 01 |
| Street Address |
680 HOGAN LN |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841513223 | Jackie Coombe-moore Pa | Psychiatry & Neurology | 680 Hogan Ln, Conway, AR 72034-8131 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540851 | Stanley Chima | Clinical Nurse Specialist | 3001 Gemstone Cv, Sherwood, AR 72120-4273 | 2020-08-24 |
| 1942395330 | Lisabeth Hoffman | Clinical Nurse Specialist | 1716 West Searcy Street, Heber Springs, AR 72543 | 2006-10-03 |
| 1639198229 | Sherry Armstrong | Clinical Nurse Specialist | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2006-07-18 |
| 1427048677 | Sherri G. Parks | Clinical Nurse Specialist | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2005-10-27 |
| 1669853081 | Arkansas Adult Psychotherapy Center, Pllc | Clinical Nurse Specialist | 5401 Jfk, Suite G, North Little Rock, AR 72116-6756 | 2015-06-11 |
| 1366882417 | Carol D Campbell Inc | Clinical Nurse Specialist | 211 W High St, Sheridan, AR 72150-2118 | 2013-07-02 |
| 1952642050 | North Arkansas Regional Medical Center | Clinical Nurse Specialist | 620 N Main St, Harrison, AR 72601-2911 | 2013-03-14 |
| 1003060203 | Martha Jo Mckinney | Clinical Nurse Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2008-11-14 |
| 1174679377 | Melanie Jean Sterling | Clinical Nurse Specialist | 2796 S 2nd St Ste E, Cabot, AR 72023-7043 | 2007-01-28 |
| 1982700639 | Katherine Malinda Barger | Clinical Nurse Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.