Jesalyn D Wilson (NPI# 1205226925, PAC ID# 4183941255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1205226925 |
PAC ID by PECOS | 4183941255 |
Professional Enrollment ID | I20150330001332 |
Full Name | Jesalyn D Wilson |
Organization Legal Name | ROBERT FREDERICK NOONAN JR MD PA |
Address |
25 Professional Park Dr Clarksville AR 72830-4432 |
Phone Number | 4797058181 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5890892830 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040002 | JOHNSON REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
25 Professional Park Dr, Clarksville, AR 72830-4432 | 4797058181 | ROBERT FREDERICK NOONAN JR MD PA |
Organization Legal Name | ROBERT FREDERICK NOONAN JR MD PA |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katie Dunkel | Nurse Practitioner | Robert Frederick Noonan Jr Md Pa | 25 Professional Park Dr, Clarksville, AR 72830-4432 |
Street Address |
25 PROFESSIONAL PARK DR |
City | CLARKSVILLE |
State | AR |
Zip | 72830-4432 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert F Noonan Jr. | Family Medicine | 25 Professional Park Dr, Clarksville, AR 72830-4432 | |
Katie Dunkel | Nurse Practitioner | Robert Frederick Noonan Jr Md Pa | 25 Professional Park Dr, Clarksville, AR 72830-4432 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca King | Optometry | 210 W Main St, Clarksville, AR 72830-3019 | |
Richard L Mcdougal | Ophthalmology | 709 W Main St, Clarksville, AR 72830-3410 | |
Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
Susan K Gateley | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
Catherine S Miranda | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
Mary Janell Burch | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
Jess E Jordan | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
John C Dunham | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
Sarah M Woodruff | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
Consuella R Flurry | Physical Therapy | 112 S Fulton St, Clarksville, AR 72830-3612 | |
Find all physicians in zip 72830 |
City | CLARKSVILLE |
Zip Code | 72830 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CLARKSVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jesalyn D Wilson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.