JORDAN BROOKE FLETCHER (NPI# 1336793611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336793611 |
| Entity Type | Individual |
| Full Name | JORDAN BROOKE FLETCHER |
| Credential | APRN |
| Practice Address |
2801 Medical Center Dr Pocahontas AR 72455-9436 |
| Mailing Address |
404 S 33 1/2 St Paragould AR 72450-3954 |
| Practice Telephone | 8708926000 |
| Practice Fax Number | 8708926258 |
| Mailing Telephone | 8704501637 |
| Mailing Fax Number | 8708926258 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
121621 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470741 | Jordan Aleece Fletcher | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2019-04-29 |
| Street Address |
2801 MEDICAL CENTER DR |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448066 | Randolph Emergency Group LLC | Emergency Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2005-12-16 |
| 1295360360 | Hannah Cagle | Registered Nurse | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2020-03-09 |
| 1093054645 | Vivian Lea Brengard | Dietitian, Registered | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2013-02-01 |
| 1376834101 | Jefferydon Lee Coon | Internal Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2011-04-27 |
| 1932401650 | Five Rivers Medical Center Inc. | Psychiatric Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1922300649 | Five Rivers Medical Center Inc. | Medicare Defined Swing Bed Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1376845099 | Five Rivers Medical Center Inc. | Radiology | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1528360989 | Five Rivers Medical Center Inc. | General Acute Care Hospital | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-11-17 |
| 1093023426 | Anna Pauletta Littleton | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455 | 2010-09-20 |
| 1578793469 | Nancy J Baltz | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2009-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362227 | Amy Declerk | Nurse Practitioner | 2018 Highway 67 S, Pocahontas, AR 72455-4169 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611361 | Jamie L Cagle | Nurse Practitioner | 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 | 2020-02-21 |
| 1306489281 | Lawana Bradley | Nurse Practitioner | 296 Lake Rd, Atkins, AR 72823-7165 | 2019-10-23 |
| 1679116024 | Michelle Grant | Nurse Practitioner | 130 Mark Cir, Monticello, AR 71655-5617 | 2019-10-17 |
| 1780238782 | Chelsea D. Marquis | Nurse Practitioner | 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 | 2019-07-29 |
| 1265094478 | Kristyn Clark | Nurse Practitioner | 210 S Thompson St, Springdale, AR 72764-4239 | 2019-07-08 |
| 1184194029 | Stephanie Lucille Converse | Nurse Practitioner | 326 Lee Rd # 601, Brickeys, AR 72320-8000 | 2018-12-04 |
| 1174026165 | Phoebe Grace Chandler | Nurse Practitioner | 3782 Solitude St, Springdale, AR 72764-6368 | 2018-03-15 |
| 1386143717 | Andrew Freeman Oliver | Nurse Practitioner | 650 United Dr Ste 200, Conway, AR 72032-7001 | 2018-02-12 |
| 1760908982 | Jamie Leigh Ferguson | Nurse Practitioner | 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 | 2017-08-18 |
| 1336677731 | Robert Lee Mcgruder Jr. | Nurse Practitioner | 2308 Royal Ct Unit B, Bryant, AR 72022-4216 | 2017-05-30 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on JORDAN BROOKE FLETCHER.
| 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.