DEALVA KERNODLE


Address: 935 County Road 348, Jonesboro, AR 72401-0418
Phone: 8702196277

DEALVA KERNODLE (NPI# 1164977583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164977583
Entity Type Individual
Full Name DEALVA KERNODLE
Practice Address 935 County Road 348
Jonesboro
AR 72401-0418
Practice Telephone 8702196277
Mailing Telephone 8702196277
Enumeration Date 2016-08-16
Last Update Date 2016-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P9310026 AR Behavioral Health & Social Service Providers

Office Location

Street Address 935 COUNTY ROAD 348
City JONESBORO
State AR
Zip Code 72401-0418

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184239360 Haronepthia C Cameron Counselor 102 Lundy Ln, Jonesboro, GA 30238-2132 2020-09-14
1356993356 New Behavioral Services LLC Counselor 216 N Mcdonough St, Jonesboro, GA 30236-3608 2019-07-10
1386107563 Lashanda Robertson Counselor 124 S Main St Ste 2n, Jonesboro, GA 30236-3502 2019-04-13
1467987230 Sharon Temple Counselor 10519 Cedar Knob, Jonesboro, GA 30238-8834 2017-04-28
1497207450 Felita Bush Counselor 124 S Main St Ste 2g, Jonesboro, GA 30236-3502 2016-10-25
1013372879 Cassandra Walker Counselor 2617 Dancing Waters Dr, Jonesboro, GA 30236-4051 2015-12-22
1932512621 Project Real Life Youth Occupational Training Corps, Inc. Counselor 6805 Tara Blvd, Jonesboro, GA 30236-1501 2014-06-10
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1922443993 Ruth Wheller Counselor 1000 S Caraway Rd Ste 103, Jonesboro, AR 72401-4465 2013-05-06
1669728259 Willie Eugene Jones Jr. Counselor 2763 Highway 138 E, Suite A, Jonesboro, GA 30236-2763 2012-08-01
Find all providers in JONESBORO

Competitor

Search similar providers

City JONESBORO
Zip Code 72401

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Dataset Information

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.

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