JENNIFER L CRISP (NPI# 1134609696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134609696 |
| Entity Type | Individual |
| Full Name | JENNIFER L CRISP |
| Credential | APRN |
| Practice Address |
516 Industrial Park Dr Trumann AR 72472-9602 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709343666 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343666 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005759 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518467141 | Jennifer Louise Crisp | Health Educator | 1495 Long Point Rd, Pasadena, MD 21122-5972 | 2018-02-20 |
| 1194112599 | Jennifer Durham Crisp | Dentist | 3154 S Church St, Burlington, NC 27215-9114 | 2015-04-23 |
| 1790103729 | Jennifer A. Crisp | Registered Nurse | 1550 Carolina Ave, Orangeburg, SC 29115-4944 | 2014-04-07 |
| 1780848002 | Jennifer L Crisp | Physical Therapist | 149 Medical Plaza Lane, Suite A, Whitesburg, KY 41858 | 2008-07-16 |
| Street Address |
516 INDUSTRIAL PARK DR |
| City | TRUMANN |
| State | AR |
| Zip Code | 72472-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730403262 | Ronald Wayne Barnett Jr. | Emergency Medicine | 516 Industrial Park Dr, Trumann, AR 72472-9602 | 2010-03-26 |
| 1477037604 | Brandon K Garner | Physical Therapist | 516 Industrial Park Dr, Trumann, AR 72472-9602 | 2018-09-24 |
| 1003278052 | Matthew D Harvison | Internal Medicine | 516 Industrial Park Dr, Trumann, AR 72472-9602 | 2016-03-28 |
| 1659638625 | Andrew Wade Walters | Internal Medicine | 516 Industrial Park Dr, Trumann, AR 72472-9602 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
| 1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
| 1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
| 1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
| 1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
| 1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
| 1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| Find all providers in zip 72472 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013120591 | Hollie Kay Mclaughlin | Nurse Practitioner | 417 W Main St, Trumann, AR 72472-3116 | 2007-05-08 |
| 1902903636 | Tanja Mead | Nurse Practitioner | 417 W Main St, Trumann, AR 72472-3116 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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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.