JENNA LYNN (NPI# 1750663670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750663670 |
| Entity Type | Individual |
| Full Name | JENNA LYNN |
| Practice Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1900 STILLWATER DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008321 | Shelly Keller | Speech-Language Pathologist | 1900 Stillwater Dr, Jonesboro, AR 72404 | 2006-07-05 |
| 1821696725 | Sarah Deweese | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1417555319 | Olivia Lawshe | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1952909863 | Martha Aldridge | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1811595713 | Kiara Minor | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1386241263 | Kawaiala Mullen | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-05 |
| 1689280984 | Amanda Pemberton | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1104432400 | Morgan Kilgore | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1407461288 | Howell Davis | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-09 |
| 1629683479 | John Huffman | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700515 | Ashley Tomlinson | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-11-02 |
| 1821696725 | Sarah Deweese | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1417555319 | Olivia Lawshe | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1386241263 | Kawaiala Mullen | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-05 |
| 1689280984 | Amanda Pemberton | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1104432400 | Morgan Kilgore | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1982219747 | Maranda Mcmanus | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-09 |
| 1477167310 | Jakob Felts | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-08 |
| 1649883448 | Laura Davidson | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-08-31 |
| 1306458781 | Rebekah Smith | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-08-18 |
| 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.