LACEY POE


Address: 3644 W St Hwy 18, Suite B, Manila, AR 72442
Phone: 8705613300

LACEY POE (NPI# 1205069630) 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) 1205069630
Entity Type Individual
Full Name LACEY POE
Credential APRN
Practice Address 3644 W St Hwy 18
Suite B
Manila
AR 72442
Mailing Address Po Box 910
Manila
AR 72442-0910
Practice Telephone 8705613300
Practice Fax Number 8705613307
Mailing Telephone 8705613300
Mailing Fax Number 8705613307
Enumeration Date 2009-09-02
Last Update Date 2014-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
A03280 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 179499758 05

Office Location

Street Address 3644 W ST HWY 18
SUITE B
City MANILA
State AR
Zip Code 72442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952385064 Tommy W Wagner Family Medicine 3644 W St Hwy 18, Manila, AR 72442 2005-12-01
1578667010 Danna Scott Deaton Nurse Practitioner 3644 W St Hwy 18, Suite B, Manila, AR 72442 2006-09-12
1982671699 Heather Leigh Smith Nurse Practitioner 3644 W St Hwy 18, Suite B, Manila, AR 72442 2006-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437765831 Allison Nicole Hitt Nurse Practitioner 3644 W Hwy 18, Manila, AR 72442 2020-09-21
1093167470 Julia Bailey Counselor 603 W. Fleeman St. Suite 4, Manila, AR 72442 2016-07-08
1578834693 Whitney E Jackson Speech-Language Pathologist 4902 W Hwy 158, Manila, AR 72442 2012-01-20
1841435583 Karen Nelda Burks Speech-Language Pathologist 419 East Olympia, Manila, AR 72442 2008-12-10
1043349236 Richard Brett Wortham Physical Therapist 600 West Hwy 18, Manila, AR 72442 2007-03-05
1770638355 Valerie D Brannen Counselor 603 W. Fleeman St, Suite 4, Manila, AR 72442 2007-01-24
1083768436 Manila School District Local Education Agency (LEA) 419 East Olympia Street, Manila, AR 72442 2007-01-23
1962561290 Bruce T Wilson Dentist 322 Hwy 18, Manila, AR 72442 2006-12-06
1164502290 Brenda A Kennedy Physician Assistant 434 Hwy 18 Bypass, Manila, AR 72442 2006-10-16
1699869032 Jackson's Pharmacy Pharmacist 434 Hwy. 18, Ste. C, Manila, AR 72442 2006-10-02
Find all providers in zip 72442

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437765831 Allison Nicole Hitt Nurse Practitioner 3644 W Hwy 18, Manila, AR 72442 2020-09-21
1285244178 Morgan Bliss Noble Nurse Practitioner 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442-7244 2020-08-05
1720183031 T W Wagner Inc Nurse Practitioner 3644 W State Highway 18, Manila, AR 72442-8049 2006-09-13
1578667010 Danna Scott Deaton Nurse Practitioner 3644 W St Hwy 18, Suite B, Manila, AR 72442 2006-09-12

Providers in the same taxonomy and state

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
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1184238149 Lauren Thomas Nurse Practitioner 1747 Highway 24, Horatio, AR 71842-8860 2020-09-06
Find all providers with the same taxonomy

Competitor

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City MANILA
Zip Code 72442

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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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