JHEANELLE DAWKINS (NPI# 1811494974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811494974 |
| Entity Type | Individual |
| Full Name | JHEANELLE DAWKINS |
| Credential | MD |
| Practice Address |
4010 S Mulberry St Pine Bluff AR 71603-7000 |
| Practice Telephone | 8705416000 |
| Mailing Telephone | 8705416000 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
E-12767 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4010 S MULBERRY ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700842218 | Darrell R Over | Family Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2006-04-24 |
| 1912492943 | Michael Falaye | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-06-22 |
| 1720575822 | Vinian R Richards | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-16 |
| 1265939342 | Michael May | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1922505080 | Abdulmattaleb Al Soufi | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1336646496 | Robert Ferguson | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1841797933 | Gireesh Sadasivan | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1326545401 | Todd Firmatura | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2018-04-06 |
| 1043745508 | Samuel Henderson | Family Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-21 |
| 1124552732 | Grant Pahls | Student in an Organized Health Care Education/Training Program | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942787551 | Dill Md Ltd LLC | Family Medicine | 6810 S Hazel St, Pine Bluff, AR 71603-7828 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042893 | Kidneysue, LLC | Family Medicine | 216 Summit Ridge Pl, Hot Springs, AR 71901-8671 | 2020-01-21 |
| 1619470275 | Haley Walters | Family Medicine | 210 S Thompson St Ste 5, Springdale, AR 72764-4261 | 2018-03-09 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1730532003 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 120 Adcock Road, Suite D, Hot Springs, AR 71913-7958 | 2016-07-21 |
| 1649556150 | Joseph Edward Hughes | Family Medicine | 1009 Rossland Dr, Jonesboro, AR 72404-8471 | 2011-10-28 |
| 1104105972 | Shipley & Sills Family Practice, Pllc | Family Medicine | 4003 Massard Rd., Fort Smith, AR 72903 | 2011-08-11 |
| 1649417361 | Gerald Lawrence Guyer | Family Medicine | 2915 Ashley Dr, Conway, AR 72034-7336 | 2009-01-16 |
| 1578759965 | Timothy Ewing Bainum | Family Medicine | 2673 Highway 70 E, Glenwood, AR 71943-8750 | 2007-09-19 |
| 1356563241 | Gil Johnson | Family Medicine | 2511 A College Ave, Conway, AR 72034-6135 | 2007-05-02 |
| 1821172651 | Romana Rayaz | Family Medicine | 4300 W 7th St # West, Little Rock, AR 72205-5446 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.