JESSE WAYNE FORD (NPI# 1770786204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770786204 |
| Entity Type | Individual |
| Full Name | JESSE WAYNE FORD |
| Credential | APRN |
| Practice Address |
2710 S Rife Medical Ln Rogers AR 72758-1452 |
| Practice Telephone | 4793383331 |
| Mailing Telephone | 4793383331 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
A001899 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730316605 | Jesse Daniel Ford | Counselor | 1817 Woodsprings Rd, Ste G, Jonesboro, AR 72401-0903 | 2009-06-17 |
| Street Address |
2710 S RIFE MEDICAL LN |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449423 | Meaghan Mcnulty | Internal Medicine | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2005-07-05 |
| 1518591809 | Mercy Hospital Rogers | Rehabilitation Unit | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2020-02-26 |
| 1992367122 | Cheryl Amanda Willis | Dietitian, Registered | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-07-09 |
| 1003379173 | Lawrence Anthony Hoyt | Student in an Organized Health Care Education/Training Program | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-04-07 |
| 1194281840 | Ryan Payne | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2019-02-19 |
| 1720562945 | Rachel Iwanda Reynolds | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2018-09-24 |
| 1174017917 | Kathryn Rae Dutton | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2018-06-15 |
| 1487175303 | Natale Lanell Yates | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-06-30 |
| 1376077388 | Eric W Haynes | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-04-17 |
| 1730629163 | Tonya Davis | Registered Nurse | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2017-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841677622 | Theresa J. Ashley | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2015-04-30 |
| 1184827891 | Roberta Anne Clark | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144424656 | Lou Anna Mcadams | Nurse Practitioner | 800 Marshall Street, Slot 512, Little Rock, AR 72202 | 2007-06-11 |
| 1174156624 | Pamela Denise Royal | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-02-12 |
| 1891342887 | Ashley Nicole Conger | Nurse Practitioner | 1 Childrens Way # 512-5, Little Rock, AR 72202-3500 | 2019-08-23 |
| 1669960829 | Katherine Ann Weston | Nurse Practitioner | 1 Childrens Way # 512-5, Little Rock, AR 72202-3500 | 2018-04-24 |
| 1134577208 | Mary H Holsclaw | Nurse Practitioner | 1 Childrens Way, Slot 211, Little Rock, AR 72202-3500 | 2016-05-31 |
| 1871929398 | Holly Hickman Scurfield | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2013-09-16 |
| 1467761163 | Tracy Lynn Smith | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2010-09-28 |
| 1609025840 | Kendi Hall Devore | Nurse Practitioner | 800 Marshall St, Little Rock, AR 72202-3510 | 2008-09-11 |
| 1518154699 | Elizabeth Mckelvey Peeler | Nurse Practitioner | 800 Marshall St, Slot 512, Little Rock, AR 72202 | 2007-10-02 |
| 1417154170 | Christi M Sproles | Nurse Practitioner | 800 Marshall Street, Little Rock, AR 72202-3591 | 2007-06-27 |
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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.