Kayla Renee Johnson (NPI# 1255839858, PAC ID# 0648531590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255839858 |
| PAC ID by PECOS | 0648531590 |
| Professional Enrollment ID | I20180309001808 |
| Full Name | Kayla Renee Johnson |
| Organization Legal Name | NOYDEEN SISTERS MEDICAL GROUP AND CLINICS INC |
| Address |
655 Dave Ward Dr Suite 103 Conway AR 72034-6954 |
| Phone Number | 5012904040 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618260092 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 | 5012904040 | NOYDEEN SISTERS MEDICAL GROUP AND CLINICS INC |
| Organization Legal Name | NOYDEEN SISTERS MEDICAL GROUP AND CLINICS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicole Ames | Family Medicine | Noydeen Sisters Medical Group and Clinics Inc | 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 |
| Noha I Mohamed | Rheumatology | Noydeen Sisters Medical Group and Clinics Inc | 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 |
| Heather H Teague | Nurse Practitioner | Noydeen Sisters Medical Group and Clinics Inc | 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 |
| Street Address |
655 DAVE WARD DR SUITE 103 |
| City | CONWAY |
| State | AR |
| Zip | 72034-6954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicole Ames | Family Medicine | Noydeen Sisters Medical Group and Clinics Inc | 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 |
| Noha I Mohamed | Rheumatology | Noydeen Sisters Medical Group and Clinics Inc | 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 |
| Heather H Teague | Nurse Practitioner | Noydeen Sisters Medical Group and Clinics Inc | 655 Dave Ward Dr, Suite 103, Conway, AR 72034-6954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Airiell M Schwab | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Elena Margarita Lopez | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Rhonda Love | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Troy Michael E Marsden | Psychologist, Clinical | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Monica A Dunn | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Jeanne M Churchill | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William H Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William A Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Amy M Burton | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Mitchell Reynolds | Occupational Therapy | Conway Orthopaedic and Sports Medicine Clinic | 550 Club Ln, Suite 1, Conway, AR 72034-3681 |
| Find all physicians in zip 72034 | |||
| City | CONWAY |
| Zip Code | 72034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kayla Renee Johnson.
| 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.