DR. MICHELLE LEIGH BAGBY (NPI# 1043692080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043692080 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LEIGH BAGBY |
| Credential | DNP, FNP-C, APRN |
| Practice Address |
1101 S Tennessee St Pine Bluff AR 71601-5801 |
| Mailing Address |
12446 Princeton Pike Pine Bluff AR 71602-8566 |
| Practice Telephone | 7054323808 |
| Practice Fax Number | 8705432368 |
| Mailing Telephone | 8700959492 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004416 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073755716 | Michelle Lynn Bagby | Behavioral Analyst | 3203 Brick Church Pike, Nashville, TN 37207-2800 | 2009-03-26 |
| Street Address |
1101 S TENNESSEE ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205011541 | Kathy Lynette Woods | Registered Nurse | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 | 2008-01-06 |
| 1891248704 | Brooke Dianna Grubb | Dietitian, Registered | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 | 2016-07-27 |
| 1487071031 | Yolanda Jeffery | Registered Nurse | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 | 2014-03-20 |
| 1164846119 | Carla Devose | Registered Nurse | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 | 2014-02-11 |
| 1891134474 | Jesus Alberto Moreno Munoz | Pediatrics | 1101 S Tennessee St, Jefferson Comprehensive Care System, Pine Bluff, AR 71601-5801 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536931 | Tonya Aryet Mcbride | Nurse Practitioner | 509 Park Pl, Pine Bluff, AR 71601-6720 | 2020-01-06 |
| 1609340058 | Alicia Michelle Green-farris | Nurse Practitioner | 5510 S Olive St, Pine Bluff, AR 71603-7607 | 2019-01-18 |
| 1225503642 | Trisha E Blair | Nurse Practitioner | 3103 S Taft St, Pine Bluff, AR 71603-4427 | 2018-10-11 |
| 1144735424 | April Nicole Harris | Nurse Practitioner | 7500 Correction Cir, Pine Bluff, AR 71603-1496 | 2017-12-07 |
| 1790142974 | Ariel Lanice Jakes | Nurse Practitioner | 1609 W 40th Ave Ste 312, Pine Bluff, AR 71603-6366 | 2016-01-19 |
| 1134507650 | Estella Bland | Nurse Practitioner | 3803 Ridgway Rd, Pine Bluff, AR 71603-7452 | 2015-05-16 |
| 1033517768 | Lacy Rebaka Thomas | Nurse Practitioner | 6806 Mammoth Cv, Pine Bluff, AR 71603-4304 | 2014-12-11 |
| 1104245745 | Shanda Vinson | Nurse Practitioner | 1515 W 42nd Ave, Pine Bluff, AR 71603-7004 | 2014-04-10 |
| 1033405600 | Diana Gray Millenbaugh | Nurse Practitioner | 3801 Camden Rd Ste 12, Pine Bluff, AR 71603-4612 | 2011-06-22 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on DR. MICHELLE LEIGH BAGBY.
| 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.