STEPHANIE MCMELLON (NPI# 1033511449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033511449 |
| Entity Type | Individual |
| Full Name | STEPHANIE MCMELLON |
| Credential | APRN |
| Practice Address |
201 E Oak Ave Jonesboro AR 72401-4163 |
| Practice Telephone | 8709356729 |
| Practice Fax Number | 8702684410 |
| Mailing Telephone | 8709356729 |
| Mailing Fax Number | 8702684410 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | S002289 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 E OAK AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407940 | Ammar Al-hallak | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401 | 2005-06-16 |
| 1326655416 | Taylor S Long | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-23 |
| 1487269726 | Rachael Richardson | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-14 |
| 1568070761 | Brittany Spence | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-07-14 |
| 1619445632 | Georgia L. Wooten | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-11-07 |
| 1063987667 | Amanda Michelle Anderson | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-10-10 |
| 1053819417 | Kristen Paige Neldon | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-01-31 |
| 1750899266 | Kelly Michele Mccain | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-01-18 |
| 1316466154 | Rachel Cohen | Clinical Nurse Specialist | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2017-09-13 |
| 1174048201 | Shayna Nunn | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2017-08-09 |
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| 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 | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710430582 | Jessica Erin Camp | Clinical Nurse Specialist | 3401 E Highland Dr, Jonesboro, AR 72401-6404 | 2016-07-28 |
| 1144836347 | Ashley Featherston | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-09-22 |
| 1326656513 | Heather Porterfield | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-07-14 |
| 1679117659 | Ryan Scott Anderson | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-01 |
| 1962947200 | Brennan Weeks | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-12-22 |
| 1982982542 | Melanie Renee New | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2011-08-01 |
| 1528142437 | Corinne Lynn Palmer | Clinical Nurse Specialist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922411644 | Melba Barnes Cns Aprn Inc | Clinical Nurse Specialist | 31 La Granja Cir, Hot Springs Village, AR 71909-2652 | 2014-06-10 |
| 1649698978 | Ellen Marie Odell | Clinical Nurse Specialist | 4303 Lankford Ave, Springdale, AR 72762-5834 | 2014-04-03 |
| 1326222183 | Susan Kimbrell | Clinical Nurse Specialist | 593 Horsebarn Rd Ste 101, Rogers, AR 72758-8797 | 2007-12-28 |
| 1679052559 | Aaron Baxter | Clinical Nurse Specialist | 550 Club Ln, Conway, AR 72034-3681 | 2018-08-10 |
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 1396193066 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 8060 Counts Massie Rd, Maumelle, AR 72113-6657 | 2016-06-02 |
| 1447621255 | Rhonda Michelle Evans | Clinical Nurse Specialist | 4301 W Markham St, Slot 508, Little Rock, AR 72205-7101 | 2015-10-19 |
| 1285003509 | Heather Manchester | Clinical Nurse Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-16 |
| 1497123129 | Michelle L Lemieux | Clinical Nurse Specialist | 3333 Springhill Dr, Suite 2002, North Little Rock, AR 72117-2922 | 2015-09-11 |
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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.