HERMIEN CLYBURN (NPI# 1588223861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588223861 |
| Entity Type | Individual |
| Full Name | HERMIEN CLYBURN |
| Credential | FNP-C |
| Practice Address |
4509 E Mccain Blvd North Little Rock AR 72117-2902 |
| Mailing Address |
113 Baronne Way Maumelle AR 72113 |
| Practice Telephone | 5019454200 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
120142 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4358 Lockhill Selma Rd, San Antonio, TX 782494161 | 2104924300 |
| Street Address |
4509 E MCCAIN BLVD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100534 | Sherri Lee Diamond | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2005-08-03 |
| 1528578002 | Timothy R Cook Md | Internal Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2017-10-10 |
| 1184134660 | Lyndi Mullinax | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2017-10-10 |
| 1710075056 | Dialysis Centers of Arkansas, Pa | Clinic/Center | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-10-11 |
| 1780789180 | Keith Alan Dixon | Internal Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-09-13 |
| 1265544373 | Diagnostic Physicians of Arkansas, Pa | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-31 |
| 1043327950 | North Hills Family Clinic Pa | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-24 |
| 1053424515 | Stanley C Burns | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-17 |
| 1124132485 | Joel Christopher Cobb | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-17 |
| 1427060698 | Jock S Cobb | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225693286 | Elizabeth Kirk | Nurse Practitioner | 7308 Westwind Dr, North Little Rock, AR 72113-9505 | 2019-05-06 |
| 1407350424 | Buffy Michelle Maynard | Nurse Practitioner | 3333 Springhill Drive, 2c, Women & Children's Department, North Little Rock, AR 72117-2922 | 2018-03-23 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1083956601 | Michelle Swope | Nurse Practitioner | 4901 Fairway Ave Ste C, North Little Rock, AR 72116-7178 | 2013-03-21 |
| 1447890595 | Alecia Cloird | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117-2947 | 2020-01-07 |
| 1750928784 | Jennifer Marie Lemmon | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-12-10 |
| 1053957464 | Julie Ann Hill | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2019-11-20 |
| 1306406806 | Susan Darnell | Nurse Practitioner | 14 Parkstone Cir, North Little Rock, AR 72116-7086 | 2019-06-17 |
| 1447818554 | Brian Lee Sirak | Nurse Practitioner | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2019-06-04 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
Please comment or provide details below to improve the information on HERMIEN CLYBURN.
| 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.