MS. MALLORY BROOKE MANLEY (NPI# 1023655024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023655024 |
| Entity Type | Individual |
| Full Name | MS. MALLORY BROOKE MANLEY |
| Credential | RN |
| Practice Address |
3700 Access Road Jonesboro AR 72401 |
| Mailing Address |
2707 Browns Lane Jonesboro AR 72401 |
| Practice Telephone | 8706800607 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R109336 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366714727 | Mallory A Manley | Social Worker | 199 W Dominick St, Rome, NY 13440-5855 | 2012-02-01 |
| Street Address |
3700 ACCESS ROAD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699926154 | Northeast Arkansas Community Mental Health Center | Counselor | 3700 Access Road, Jonesboro, AR 72401-7238 | 2008-10-02 |
| 1669019634 | Holland Victoria Wagner | Social Worker | 3700 Access Road, Jonesboro, AR 72401 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063900439 | Rachel Gibbons Milner | Registered Nurse | 5555 Macedonia Rd Apt D16, Jonesboro, AR 72401 | 2018-05-01 |
| 1720588015 | Justin Bryant | Registered Nurse | 452 Silverstone Dr, Jonesboro, AR 72404-5010 | 2018-02-13 |
| 1962957316 | Patchees Joseph | Registered Nurse | 365 Westside Dr, Jonesboro, GA 30238-4877 | 2016-08-15 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1588981401 | Wistha Cheriscat | Registered Nurse | 7929 Jonesboro Rd, Jonesboro, GA 30236-2470 | 2010-05-03 |
| 1851538284 | Diane Gray | Registered Nurse | 646 Washington Dr, Jonesboro, GA 30238-8516 | 2009-01-07 |
| 1710159884 | Kimberly Kaye Altman | Registered Nurse | 108 W 5th St, Jonesboro, IN 46938-1109 | 2008-03-29 |
| 1699388405 | Dalaney Hall | Registered Nurse | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-08-31 |
| 1467064386 | Adler Teray Themistocle | Registered Nurse | 157 Smith St, Jonesboro, GA 30236-3546 | 2020-08-21 |
| 1851917512 | Jamie Pasmore | Registered Nurse | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-06-18 |
| Find all providers in JONESBORO | ||||
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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.