NANCY PEMBERTON (NPI# 1679029227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679029227 |
| Entity Type | Individual |
| Full Name | NANCY PEMBERTON |
| Credential | APRN |
| Practice Address |
1003 Windover Rd Jonesboro AR 72401 |
| Mailing Address |
Po Box 16788 Jonesboro AR 72403 |
| Practice Telephone | 8703361600 |
| Practice Fax Number | 8703360585 |
| Mailing Telephone | 8703361600 |
| Mailing Fax Number | 8703360585 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A004763 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 221014758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487674909 | Nancy Jean Pemberton | Dentist | 111 Monsanto Ave, Luling, LA 70070-2149 | 2006-07-20 |
| Street Address |
1003 WINDOVER RD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013952365 | Connie L Hiers | Plastic Surgery | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2006-06-19 |
| 1184189219 | Callie Graves | Physician Assistant | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2019-02-03 |
| 1770932550 | Sills Dermatology, Pllc | Dermatology | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2016-06-12 |
| 1316147911 | Lara Christine Bulkley | Nurse Anesthetist, Certified Registered | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2007-07-20 |
| 1396809711 | Plastic Surgery Associates of Northeast Arkansas, P.a. | Specialist | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2006-12-20 |
| 1952326951 | Adam Ashley Sills | Dermatology | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457971 | Ifeoma Adazi | Nurse Practitioner | 9620 Ivey Ridge Cir, Jonesboro, GA 30238-4161 | 2019-09-21 |
| 1770075574 | Susan Eileen Schorer | Nurse Practitioner | 303 E Matthews Ave Ste 200, Jonesboro, AR 72401-3120 | 2018-06-06 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1386819654 | Jennifer Dawn Jarrett | Nurse Practitioner | 3024 Red Wolf Blvd Ste 6, Jonesboro, AR 72401-7415 | 2008-04-28 |
| 1386759660 | Mary Elizabeth Hartwig | Nurse Practitioner | 223 E Jackson Ave, Jonesboro, AR 72401-3119 | 2006-08-20 |
| 1114524147 | Independence Anesthesia LLC | Nurse Practitioner | 1710 Mayfield Dr, Jonesboro, AR 72401-4563 | 2020-10-02 |
| 1225689151 | Rocio Emy Roades | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-09-23 |
| 1497316343 | Alexandra Blackburn | Nurse Practitioner | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2019-06-21 |
| 1790344562 | Lara Ann Mcglothlin | Nurse Practitioner | 1319 Red Wolf Blvd Ste C, Jonesboro, AR 72401-4585 | 2019-06-06 |
| 1154815843 | Melody Lynn Kent | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2018-06-18 |
| Find all providers in JONESBORO | ||||
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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.