SAMANTHA IRENE JOLLY (NPI# 1194220186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194220186 |
| Entity Type | Individual |
| Full Name | SAMANTHA IRENE JOLLY |
| Credential | MD |
| Practice Address |
3214 E Race Ave Searcy AR 72143-4810 |
| Mailing Address |
4300 Marsh Rd Little Rock AR 72210-5144 |
| Practice Telephone | 5012686121 |
| Mailing Telephone | 5012150503 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093223570 | Samantha Jolly | Nurse Practitioner | 5936 Limestone Rd, Hockessin, DE 19707-8930 | 2018-01-18 |
| Street Address |
3214 E RACE AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871578500 | Jonathan C. Robertson | Emergency Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2005-12-15 |
| 1285255075 | Robert Johnson | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-05-03 |
| 1013538115 | Joseph S. Abraham | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-29 |
| 1992324024 | Pranitha Chekka | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-09 |
| 1073132189 | David Scott Zehnder | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-09 |
| 1235768581 | Nathan Hunter Armstrong | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1023647310 | Raymond Joshua Quilao | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1609405026 | Kinan J Abou-kassem | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1275162737 | Marcus Hudson | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-06 |
| 1902435530 | Anna Figueiredo | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1669027967 | Tyler Jeffrey Cardillo | Student in an Organized Health Care Education/Training Program | 915 E Market Ave # Hu12231, Searcy, AR 72149-5615 | 2019-08-05 |
| 1871059709 | Neelie Deshae Bean | Student in an Organized Health Care Education/Training Program | 23 Southpointe, Searcy, AR 72143-8438 | 2019-02-15 |
| 1194281188 | Haley Spencer | Student in an Organized Health Care Education/Training Program | 138 Field Crest Dr, Searcy, AR 72143-8427 | 2019-02-14 |
| 1518423557 | Joshua Hurt | Student in an Organized Health Care Education/Training Program | Hu 10514 915 E Market Ave, Searcy, AR 72149-0001 | 2019-02-14 |
| 1578029666 | Michael Ford Tikson | Student in an Organized Health Care Education/Training Program | Harding University Physician Assistant Program, Searcy, AR 72149-0001 | 2019-02-14 |
| 1043797954 | Tracy Mare | Student in an Organized Health Care Education/Training Program | Harding University Pa Program 915 E Market Ave, Searcy, AR 72149-4792 | 2018-07-24 |
| 1245765148 | Ammara Raziuddin | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave # Ar, Searcy, AR 72143-4810 | 2017-04-27 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1396159869 | Halley Jarrrett | Student in an Organized Health Care Education/Training Program | 1212 Roundabout Cir, Searcy, AR 72143-5967 | 2014-06-12 |
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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.