JACQUOLYN JO EARLY (NPI# 1134257967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134257967 |
| Entity Type | Individual |
| Full Name | JACQUOLYN JO EARLY |
| Other Name | JACKIE EARLY |
| Credential | APRN |
| Practice Address |
530 Atkins Blvd Marianna AR 72360-2198 |
| Practice Telephone | 8702955225 |
| Practice Fax Number | 8702954070 |
| Mailing Telephone | 8702955225 |
| Mailing Fax Number | 8702954070 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01261 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
530 ATKINS BLVD |
| City | MARIANNA |
| State | AR |
| Zip Code | 72360-2198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679581532 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2006-08-04 |
| 1447863147 | Brittany Mitchell | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2020-08-24 |
| 1033765490 | Keisha A. Fox | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2019-08-12 |
| 1174981104 | Marlo S. Williams | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2016-02-04 |
| 1558767178 | Vanessa Jefferson | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2014-11-10 |
| 1235465303 | Yee L Yang | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2009-10-26 |
| 1700034998 | Lee County Cooperative Clinic | Clinic/Center | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-09-03 |
| 1245491380 | Harry Andre Michel | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-06-20 |
| 1346430980 | Linda F Collins | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-07-30 |
| 1851433858 | Lee County Cooperative Clinic | Pharmacy | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1528234101 | Counseling Consultants | Clinic/Center | 199 Hwy 243, Marianna, AR 72360 | 2008-05-05 |
| 1467658435 | Requisha Denee Brooks | Home Health Aide | 218 E. Mlk Apt 1, Marianna, AR 72360 | 2007-06-26 |
| 1740310481 | Abe Lovelace | Social Worker | 63 N Carolina St, Marianna, AR 72360 | 2007-03-06 |
| 1932254653 | Alisia Skinner | Physical Therapy Assistant | 700 West Chestnut, Marianna, AR 72360 | 2007-01-24 |
| 1063577682 | James Wilson Jr. | Lodging | 1679 Highway 243 South, Marianna, AR 72360 | 2006-12-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1093093247 | Valentine C Emechete | Dentist | 530 West Atkins Blvd, Mrianna, AR 72360 | 2011-07-21 |
| Find all providers in zip 72360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851943542 | Anastasia Marie Horne | Nurse Practitioner | 4896 Highway 90 Ste A, Marianna, FL 32446-7840 | 2019-07-12 |
| 1629547641 | Julia Nichole Tice | Nurse Practitioner | 4215 Kelson Ave Ste E, Marianna, FL 32446-6555 | 2018-11-20 |
| 1487123428 | April Renee Cooper | Nurse Practitioner | 4230 Hospital Dr Ste 101, Marianna, FL 32446-1927 | 2018-11-20 |
| 1356885503 | Lisa Menchion | Nurse Practitioner | 3742b Skyview Rd, Marianna, FL 32446-8348 | 2016-12-07 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1548638869 | Nicole Hoff Green | Nurse Practitioner | 2989 Caledonia St, Marianna, FL 32446-3005 | 2015-09-02 |
| 1669650156 | Imani Carolyn Goodwin | Nurse Practitioner | 4680 Us Highway 90, Marianna, FL 32446 | 2008-02-06 |
| 1578525150 | Cynthia Jane Rudd | Nurse Practitioner | 4684 Highway 90, Marianna, FL 32446-3503 | 2006-04-06 |
| 1174132435 | Stacy A Martin | Nurse Practitioner | 4896 Highway 90 Ste A, Marianna, FL 32446-7840 | 2020-07-23 |
| 1033765490 | Keisha A. Fox | Nurse Practitioner | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2019-08-12 |
| Find all providers in MARIANNA | ||||
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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.