JORDAN L JOHNSON (NPI# 1598244394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598244394 |
| Entity Type | Individual |
| Full Name | JORDAN L JOHNSON |
| Credential | DNP |
| Practice Address |
4800 E Johnson Ave Jonesboro AR 72401-8413 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709365039 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709365039 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A005648 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1871018366 | Jordan Isaiah Johnson | Licensed Practical Nurse | 4503 Edmond Dr, South Euclid, OH 44121-3907 | 2017-08-07 |
| 1740735620 | Jordan Johnson | Physical Therapist | 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 | 2016-08-19 |
| 1396114351 | Jordan Johnson | Behavioral Analyst | 146 S Thomas St Ste E, Tupelo, MS 38801-5328 | 2015-09-21 |
| 1881072205 | Jordan Johnson | Technician, Other | 222 6th Ave, Manistee, MI 49660-1318 | 2015-05-18 |
| 1528497286 | Jordan R Johnson | Marriage & Family Therapist | 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 | 2013-11-04 |
| 1366888174 | Jordan Lloyd Johnson | Dentist | 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 | 2013-05-20 |
| 1669085981 | Jordan Johnson | Physician Assistant | 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 | 2020-08-26 |
| 1932723715 | Jordan Tyler Johnson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-06-08 |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134200 | Brock F Harris | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-02-17 |
| 1780205740 | Andrea Duchow | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-30 |
| 1255950069 | Jackson Benjamin Troxel | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-11 |
| 1225657125 | Edwin Roy Mathews | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-10 |
| 1063031086 | Muaamar Baldawi | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1003435108 | Refayat Ahsen | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1770112377 | Julia Bottoni | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-06 |
| 1538797709 | Christian Paige Parnell | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-01 |
| 1013564525 | Jarryd A Dempsey | Physical Therapist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-20 |
| 1437705910 | Tiffany Gail Kauffman | Clinical Nurse Specialist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-12 |
| Find all providers in the same location | ||||
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
| 1114498144 | Cristyle Lynn Morrison | Nurse Practitioner | 8773 Channing Dr, Jonesboro, GA 30238-4719 | 2018-12-17 |
| 1972967321 | Chiketta Mitchell | Nurse Practitioner | 517 Maggie Ln, Jonesboro, GA 30238-3405 | 2016-04-12 |
| 1093739286 | Deborah Darlene Shipman | Nurse Practitioner | 201 E Oak, Jonesboro, AR 72401 | 2006-07-27 |
| 1023503869 | Katie J Hutton | Nurse Practitioner | 300 Carson St, Jonesboro, AR 72401-3104 | 2018-06-25 |
| 1285158436 | Sara Ann Kopp | Nurse Practitioner | 1005 E Matthews Ave, Jonesboro, AR 72401-4308 | 2017-07-31 |
| 1659812402 | Jana Wheaton | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2017-03-13 |
| 1952849531 | Anna Broadus | Nurse Practitioner | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2017-02-03 |
| 1659814739 | Billie L Barnes-wills | Nurse Practitioner | 4901 E Johnson Ave, Jonesboro, AR 72401 | 2016-11-22 |
| 1356706410 | Diedra Lynn Strecker | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2015-12-16 |
| 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.