MS. JESALYN DOVE WILSON (NPI# 1205226925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205226925 |
| Entity Type | Individual |
| Full Name | MS. JESALYN DOVE WILSON |
| Credential | PA-C |
| Practice Address |
1100 E Poplar St Clarksville AR 72830-4419 |
| Mailing Address |
700 Harris St Hartman AR 72840-9444 |
| Practice Telephone | 4797545454 |
| Mailing Telephone | 4797461877 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | P-T1518 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 E POPLAR ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
| 1609259753 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-07-08 |
| 1568704765 | Arkansas Em-i Byrne Medical Services, Pa | Physician Assistant | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-26 |
| 1871835678 | Will Spada Creek Emergency Physicians | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-20 |
| 1952643686 | Spada Creek Emergency Physicians, LLC | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-20 |
| 1013255777 | Access Family Medicine, Inc. | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-30 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1750635249 | Nola Diane Hays | Nurse Practitioner | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-11-05 |
| 1710251418 | Laurie Smith Fisher, M.d., Inc | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-02-28 |
| 1700012184 | Contemporary Healthcare for Women | Obstetrics & Gynecology | 1100 E Poplar St, Suite A, Clarksville, AR 72830-4419 | 2009-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472079 | Melissa Perkins | Physician Assistant | 2080 Madison St, Clarksville, TN 37043-5087 | 2020-06-19 |
| 1932735297 | Desirae Marie Sheppard | Physician Assistant | 1304 Sharptail Trl, Clarksville, TN 37042-8113 | 2020-03-19 |
| 1669011094 | Jasmine Adams | Physician Assistant | 609 Rocky Hill Rd, Clarksville, TN 37042-6019 | 2020-01-02 |
| 1700369394 | Michael English | Physician Assistant | 1871 Rains Rd, Clarksville, TN 37042-1966 | 2018-09-11 |
| 1770078040 | Novus Behavioral Health | Physician Assistant | 130 Hillcrest Dr Ste 213, Clarksville, TN 37043-5083 | 2018-06-28 |
| 1619462546 | Cody R Thomas | Physician Assistant | 1060 W Creek Coyote Trl Apt 1302, Clarksville, TN 37042-8266 | 2018-06-23 |
| 1447753314 | Vincent Michael Proctor | Physician Assistant | 775f Weatherly Dr, Clarksville, TN 37043-8942 | 2018-03-16 |
| 1124539580 | Lauren Michelle Huddleston | Physician Assistant | 1524 Madison St, Clarksville, TN 37040-3846 | 2017-10-12 |
| 1043720287 | Kathryn Fitzpatrick Rodgers | Physician Assistant | 5403 Talon Ct, Clarksville, MD 21029-1142 | 2017-10-02 |
| 1194243709 | Christina Joanne O'hara-rodriguez | Physician Assistant | 803 River Run, Clarksville, TN 37043-6042 | 2017-09-03 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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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.