JORDAN NICOLE BERNARD (NPI# 1619358777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619358777 |
| Entity Type | Individual |
| Full Name | JORDAN NICOLE BERNARD |
| Credential | APRN, FNP-C |
| Practice Address |
200 E Walnut St Gurdon AR 71743-1256 |
| Practice Telephone | 8703532800 |
| Mailing Telephone | 8066790921 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128317 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 E WALNUT ST |
| City | GURDON |
| State | AR |
| Zip Code | 71743-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073058749 | Angela D Suttle | Nurse Practitioner | 200 E Walnut St, Gurdon, AR 71743-1256 | 2017-01-04 |
| 1730546276 | Leigh Anne Shockley | Nurse Practitioner | 200 E Walnut St, Gurdon, AR 71743-1256 | 2016-01-27 |
| 1841598919 | Baptist Health | Family Medicine | 200 E Walnut St, Gurdon, AR 71743-1256 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922041201 | Wpm Community Pharmacies LLC | Pharmacy | 201 N Elm St, Gurdon, AR 71743 | 2006-06-14 |
| 1447463427 | Superintendent of Gurdon High School | Physical Therapist | 314 School Street, Gurdon, AR 71743-0000 | 2007-05-07 |
| 1033488747 | Amy Babb | Pharmacist | 113 N 1st St, Gurdon, AR 71743-1201 | 2011-12-26 |
| 1841419132 | Great Beginnings Child Care & Enrichment Center, Inc. | Day Training, Developmentally Disabled Services | 512 E Crayton St, Gurdon, AR 71743-1234 | 2007-04-24 |
| 1366637498 | Lajarlyn Rose Wesley | Registered Nurse | 501 E Main St, Gurdon, AR 71743-1243 | 2007-09-12 |
| 1417168980 | Hours of Joy Child Care Inc. | Day Training, Developmentally Disabled Services | 501 E Main St, Gurdon, AR 71743-1243 | 2007-05-25 |
| 1437363892 | Hours of Joy Child Care Inc. | Bus | 501 E Main St, Gurdon, AR 71743-1243 | 2007-05-09 |
| 1457417784 | William Roy Capps | Dentist | 305 E Walnut St, Gurdon, AR 71743-1257 | 2006-12-29 |
| 1023385978 | Gurdon Family Dentistry, Inc | Dentist | 305 E Walnut St, Gurdon, AR 71743-1257 | 2011-11-21 |
| 1730347824 | William R. Capps, Dds; Pllc | Dentist | 305 E Walnut St, Gurdon, AR 71743-1257 | 2008-05-27 |
| Find all providers in zip 71743 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073058749 | Angela D Suttle | Nurse Practitioner | 200 E Walnut St, Gurdon, AR 71743-1256 | 2017-01-04 |
| 1730546276 | Leigh Anne Shockley | Nurse Practitioner | 200 E Walnut St, Gurdon, AR 71743-1256 | 2016-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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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.