Sandra Walker Nichols (NPI# 1770749202, PAC ID# 0547304412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1770749202 |
PAC ID by PECOS | 0547304412 |
Professional Enrollment ID | I20170225000104 |
Full Name | Sandra Walker Nichols |
Organization Legal Name | SOUTHEASTERN EMERGENCY SERVICES P C |
Address |
4800 E Johnson Ave Jonesboro AR 72401-8413 |
Phone Number | 8709361000 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6204730195 |
Number of Group Practice Members | 51 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
341305 | DLP SWAIN COUNTY HOSPITAL LLC |
Address | Phone | Organization |
---|---|---|
45 Plateau St, Bryson City, NC 28713-4200 | 8284882155 | SWAIN INTEGRATED SERVICES, PC |
4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 8709361000 | SOUTHEASTERN EMERGENCY SERVICES P C |
Organization Legal Name | SOUTHEASTERN EMERGENCY SERVICES P C |
Physicians | 46 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pamela H Stang | Nurse Practitioner | Southeastern Emergency Services P C | 225 Falcon Dr, Mount Sterling, KY 40353-9792 |
Ashlie Camp | Nurse Practitioner | Southeastern Emergency Services P C | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9600 |
Katherine Louise Nauert | Nurse Practitioner | Southeastern Emergency Services P C | 4305 New Shepherdsville, Bardstown, KY 40004-9019 |
Donna S Sandlin | Nurse Practitioner | Southeastern Emergency Services P C | 210 Marie Langdon Dr, Manchester, KY 40962-6388 |
Julie A Poore | Nurse Practitioner | Southeastern Emergency Services P C | 1 Trillium Way, Corbin, KY 40701-8420 |
Crystal L Mitchell | Nurse Practitioner | Southeastern Emergency Services P C | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
Brian H Gaskins | Nurse Practitioner | Southeastern Emergency Services P C | 305 Langdon St, Somerset, KY 42503-2750 |
Brent Rush | Nurse Practitioner | Southeastern Emergency Services P C | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 |
Edith C Hensley | Nurse Practitioner | Southeastern Emergency Services P C | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 |
Timothy M Pruitt | Nurse Practitioner | Southeastern Emergency Services P C | 2100 N 7th St, West Memphis, AR 72301-2017 |
Street Address |
4800 E JOHNSON AVE |
City | JONESBORO |
State | AR |
Zip | 72401-8413 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martin A Vaughn | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
Jarryd A Dempsey | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
Ernest James Mcclinton Iii | Emergency Medicine | Southeastern Emergency Physicians LLC | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
Michael E Davison | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
Oksana Redko | Anesthesiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
Laura A Ferguson | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
Justin K Martin | Occupational Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
Christopher M Bruno | Diagnostic Radiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
Daniel A Craven Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
Jacob Jones | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
Find all physicians in zip 72401 |
City | JONESBORO |
Zip Code | 72401 |
Specialty | NURSE PRACTITIONER |
City + Specialty | JONESBORO + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.