JERRAMY ICENHOWER (NPI# 1740819135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740819135 |
| Entity Type | Individual |
| Full Name | JERRAMY ICENHOWER |
| Credential | NP |
| Practice Address |
200 River Market Ave Ste 300 Little Rock AR 72201-1770 |
| Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
| Practice Telephone | 5014920099 |
| Practice Fax Number | 4799681673 |
| Mailing Telephone | 8554986767 |
| Mailing Fax Number | 4799681673 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
123834 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 RIVER MARKET AVE STE 300 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72201-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205884640 | Deana Michelle Caststeel | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2006-05-05 |
| 1669079380 | Stephanie Rogers | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2020-10-06 |
| 1801407747 | Brittany Smith | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2020-08-13 |
| 1689290249 | Carmen Johnson | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2020-06-19 |
| 1376102335 | Cindy Hall | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-06-12 |
| 1518522887 | Shandle Lynn Hacker | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-05-02 |
| 1396200978 | Charlett Watson | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-02-07 |
| 1689148587 | Marquitta Smith | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-01-15 |
| 1770075673 | Sandra Westerman | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2018-06-06 |
| 1164762662 | Integrated Care Professionals, LLC | Clinical Nurse Specialist | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612209 | Hagood Holdings, LLC | In Home Supportive Care | 922 W. 6th Street, Little Rock, AR 72201 | 2019-04-26 |
| 1891045464 | Nathan James Winter | Occupational Therapist | 26 Corporate Hill Dr., Little Rock, AR 72201 | 2012-09-11 |
| 1154627941 | Clement Wade Fox | Internal Medicine | 320 W. Capitol, Little Rock, AR 72201 | 2011-01-27 |
| 1245462514 | Consevella A James | Social Worker | 700 West 4th Street, Treatment Homes, Inc., Little Rock, AR 72201 | 2009-08-20 |
| 1174775688 | Martha Ann Nixon | Physical Therapist | 801 W. Markham, Little Rock, AR 72201 | 2008-10-15 |
| 1144478256 | Christy Denise Allen | Local Education Agency (LEA) | 810 W Markham, Little Rock, AR 72201 | 2008-09-03 |
| 1437370467 | Donald Paul Brady | Psychiatry & Neurology | 430 W 7th St, Little Rock, AR 72201 | 2007-05-01 |
| 1396863700 | Eugene Robert Gerst Jr. | Counselor | 820 W 6th Street, Ste 200, Little Rock, AR 72201 | 2007-03-26 |
| 1194841783 | The Care Center, Inc | Counselor | 820 W6th St, Ste 200, Little Rock, AR 72201 | 2007-03-22 |
| 1992821508 | Rellia Ann Dillinger | Counselor | 820 W 6th St, Ste 200, Little Rock, AR 72201 | 2007-03-22 |
| Find all providers in zip 72201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003196 | Allison Mcpeak | Nurse Practitioner | 10800 Financial Centre Pkwy Ste 380, Little Rock, AR 72211-3508 | 2020-08-11 |
| 1316556632 | Pamela Volner | Nurse Practitioner | 4 Shackleford Plz Ste 202, Little Rock, AR 72211-1844 | 2020-07-23 |
| 1528676764 | Katherine Dunigan | Nurse Practitioner | 11 White Oak Ln, Little Rock, AR 72207-2549 | 2020-07-14 |
| 1679198287 | Marilyn Anne Johnson-mcfarland | Nurse Practitioner | 1 Saint Vincent Cir Ste 440, Little Rock, AR 72205-5492 | 2020-06-09 |
| 1174160089 | Natalie Cobb | Nurse Practitioner | 10 Courts Dr, Little Rock, AR 72223-9021 | 2019-12-10 |
| 1609410232 | Rachel Nicole Mccrary | Nurse Practitioner | 108 N Shackleford Rd, Little Rock, AR 72211-2840 | 2019-11-06 |
| 1093361347 | Whitney Lashell Johnson | Nurse Practitioner | 15 Stonebridge Cir Apt 1536, Little Rock, AR 72223-4550 | 2019-08-13 |
| 1780230375 | Krystal Collins | Nurse Practitioner | 9800 Baptist Health Dr Ste 600, Little Rock, AR 72205-6244 | 2019-08-10 |
| 1659932994 | Judith Chinwe Spencer-cole | Nurse Practitioner | 2 Waters Edge Dr, Little Rock, AR 72204-8645 | 2019-06-27 |
| 1063971935 | Sara Mannis | Nurse Practitioner | 1816 Gamble Rd, Little Rock, AR 72211-4196 | 2019-03-19 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72201 |
Please comment or provide details below to improve the information on JERRAMY ICENHOWER.
| 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.