PHILIP RAY FAUGHN (NPI# 1932664067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932664067 |
| Entity Type | Individual |
| Full Name | PHILIP RAY FAUGHN |
| Credential | APRN |
| Practice Address |
225 E Jackson Ave Jonesboro AR 72401-3119 |
| Mailing Address |
5403 Shad Dr Jonesboro AR 72404-9419 |
| Practice Telephone | 8702074100 |
| Mailing Telephone | 8709190648 |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2019-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A006105 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | A006105 | 05 |
| Street Address |
225 E JACKSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878867 | Richard R Reinholtz | Radiology | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2005-06-01 |
| 1528668241 | David Daniel Joel Hoffman II | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-10-30 |
| 1003425315 | Jesse Ash | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-07-23 |
| 1205457090 | Linda Gail Brown | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2020-05-03 |
| 1225689151 | Rocio Emy Roades | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-09-23 |
| 1992350730 | Leslie Britton | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-08-08 |
| 1538729116 | Leah Gathright | Registered Nurse | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-06-17 |
| 1831753243 | Katherine Ann Mcfarlin | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-05-01 |
| 1336602549 | Terrance Matthew Kane | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-13 |
| 1841753324 | Aldo Giovanni Estella | Student in an Organized Health Care Education/Training Program | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-04-10 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1619404993 | Johnna Suzanne Boggs | Nurse Practitioner | 3410 E Johnson Ave, Jonesboro, AR 72401-1876 | 2017-05-17 |
| 1275065500 | Jason Kinder | Nurse Practitioner | 3213 Springwood Dr, Jonesboro, AR 72404-7750 | 2017-03-27 |
| 1710588462 | Elizabeth Jean Mcquay | Nurse Practitioner | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-11-07 |
| 1487269726 | Rachael Richardson | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-14 |
| 1902464639 | Roza Brown | Nurse Practitioner | 1005 E Matthews Ave, Jonesboro, AR 72401-4308 | 2019-05-29 |
| 1326536681 | Stella Michelle Lundry | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2018-04-23 |
| 1750899266 | Kelly Michele Mccain | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-01-18 |
| 1295259224 | Michael W Ball | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2017-08-01 |
| 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.