MRS. CHRISTY MICHELLE WILSON-EGGBURN (NPI# 1396052056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396052056 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTY MICHELLE WILSON-EGGBURN |
| Credential | FNP-BC |
| Practice Address |
209 N Blake St Pine Bluff AR 71601-3226 |
| Practice Telephone | 8705366600 |
| Mailing Telephone | 8705366600 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03410 APN | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 N BLAKE ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396772398 | Gerald Clifton Morris | Family Medicine | 209 N Blake St, Pine Bluff, AR 71601-3226 | 2006-06-26 |
| 1033557145 | Lillian Jynes | Nurse Practitioner | 209 N Blake St, Pine Bluff, AR 71601-3226 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536931 | Tonya Aryet Mcbride | Nurse Practitioner | 509 Park Pl, Pine Bluff, AR 71601-6720 | 2020-01-06 |
| 1609340058 | Alicia Michelle Green-farris | Nurse Practitioner | 5510 S Olive St, Pine Bluff, AR 71603-7607 | 2019-01-18 |
| 1225503642 | Trisha E Blair | Nurse Practitioner | 3103 S Taft St, Pine Bluff, AR 71603-4427 | 2018-10-11 |
| 1144735424 | April Nicole Harris | Nurse Practitioner | 7500 Correction Cir, Pine Bluff, AR 71603-1496 | 2017-12-07 |
| 1790142974 | Ariel Lanice Jakes | Nurse Practitioner | 1609 W 40th Ave Ste 312, Pine Bluff, AR 71603-6366 | 2016-01-19 |
| 1134507650 | Estella Bland | Nurse Practitioner | 3803 Ridgway Rd, Pine Bluff, AR 71603-7452 | 2015-05-16 |
| 1033517768 | Lacy Rebaka Thomas | Nurse Practitioner | 6806 Mammoth Cv, Pine Bluff, AR 71603-4304 | 2014-12-11 |
| 1104245745 | Shanda Vinson | Nurse Practitioner | 1515 W 42nd Ave, Pine Bluff, AR 71603-7004 | 2014-04-10 |
| 1033405600 | Diana Gray Millenbaugh | Nurse Practitioner | 3801 Camden Rd Ste 12, Pine Bluff, AR 71603-4612 | 2011-06-22 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on MRS. CHRISTY MICHELLE WILSON-EGGBURN.
| 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.