MR. MICHAEL BRUCE COLLIE (NPI# 1265073704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265073704 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL BRUCE COLLIE |
| Credential | RN |
| Practice Address |
837 Williett Road Jonesboro AR 72401 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R079564 | AR | Nursing Service Providers |
| Street Address |
837 WILLIETT ROAD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| 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 |
| 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 |
| 1336633387 | Center for Eating Disorders and Behavioral Wellness Plc | Social Worker | 225 S Main St Ste 102, Jonesboro, AR 72401 | 2018-06-21 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725144 | Jennifer Marie Sims | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-11-20 |
| 1174164610 | Amanda Leigh Marks | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1376194738 | Jennifer Ann Henderson | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| 1396010518 | Charles Cy Cox | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2012-03-21 |
| 1548563448 | Lenora Fay Tripp | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-12-15 |
| 1396058624 | Mary Renee Johnson | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-07-15 |
| 1861679144 | Linda Lee Matheson | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-01-29 |
| 1275713950 | Debbie L Russell | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-11-09 |
| 1194913772 | Shannon M Brewer | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-10-09 |
| 1790977858 | Debra Robbins | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-08-13 |
| 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.