STACEY OGLETREE LYNCH (NPI# 1750705513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750705513 |
| Entity Type | Individual |
| Full Name | STACEY OGLETREE LYNCH |
| Other Name | STACEY DANIELLE OGLETREE |
| Credential | PMHNP |
| Practice Address |
820 E Matthews Ave Ste F Jonesboro AR 72401-3081 |
| Mailing Address |
3113 Mallard Pointe Ln Jonesboro AR 72404-7098 |
| Practice Telephone | 8702430424 |
| Mailing Telephone | 8702430424 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A005293 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 149 Grayhawk Dr, Madison, MS 391104004 | 6016249454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992394 | Stacey Lynn Lynch | Counselor | 5362 Lemee Ln, Mariposa, CA 95338-9556 | 2020-05-05 |
| 1225560972 | Stacey Lynch | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Surgery, Shreveport, LA 71103-4228 | 2017-03-31 |
| 1841521408 | Stacey A Lynch | Social Worker | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2010-01-21 |
| 1164660593 | Stacey Renee Lynch | Physical Therapist | 3734 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2009-01-22 |
| 1689894305 | Stacey Marie Lynch | Speech-Language Pathologist | 10810 N Tatum Blvd, Bldg 102-185, Phoenix, AZ 85028-6055 | 2007-04-26 |
| Street Address |
820 E MATTHEWS AVE STE F |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447817572 | Renew Mental Health and Wellness LLC | Nurse Practitioner | 820 E Matthews Ave Ste F, Jonesboro, AR 72401-3081 | 2019-05-23 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1073099198 | Tiffany Spargo | Nurse Practitioner | 214 E Washington Ave, Jonesboro, AR 72401-3102 | 2018-07-11 |
| 1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
| 1518599091 | Marcie L Tuggle | Nurse Practitioner | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-12 |
| 1447817572 | Renew Mental Health and Wellness LLC | Nurse Practitioner | 820 E Matthews Ave Ste F, Jonesboro, AR 72401-3081 | 2019-05-23 |
| 1639654213 | Trisha Burns | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2018-09-28 |
| 1245719590 | Carrie Tate | Nurse Practitioner | 300 Carson St, Jonesboro, AR 72401-3104 | 2018-08-08 |
| 1861911091 | Barbara Turner | Nurse Practitioner | 2200 E Matthews Ave, Jonesboro, AR 72401-4347 | 2017-09-19 |
| 1427427368 | Melanie Ann Higgins | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2015-09-22 |
| 1750767299 | Kaitlyn Nugent | Nurse Practitioner | 615 E Matthews Ave, Suite A, Jonesboro, AR 72401-3145 | 2015-08-06 |
| 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.