Jacky F Dunn (NPI# 1235195306, PAC ID# 4486648979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1235195306 |
| PAC ID by PECOS | 4486648979 |
| Professional Enrollment ID | I20040408000793 |
| Full Name | Jacky F Dunn |
| Organization Legal Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Address |
609 W Clark St Jasper AR 72641-0130 |
| Phone Number | 8704466740 |
| Gender | M |
| Credential | MD |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3870401722 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 609 W Clark St, Jasper, AR 72641-0130 | 8704466740 | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Organization Legal Name | BOSTON MOUNTAIN RURAL HEALTH CENTER INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Elizabeth Tester | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 |
| Tessa M Sparks | Nurse Practitioner | Boston Mountain Rural Health Center Inc | Hc 31 Box, Suite 310, Deer, AR 72628-2628 |
| Haleigh Trotter | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 465 Medical Ctr Pkwy, Clinton, AR 72031-2031 |
| Neil Langer | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Abigail A Peerce | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 358 E Valley St, Yellville, AR 72687-2687 |
| Mandi K Strode | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Lauren Faulkner | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 326 Southside Rd, Bee Branch, AR 72013-9137 |
| Rebecca Simon | Family Medicine | Boston Mountain Rural Health Center Inc | 1002 N Spring St, Harrison, AR 72601-2918 |
| Danny Lynn Proffitt | Family Medicine | Boston Mountain Rural Health Center Inc | 934 N Gaskill St, Huntsville, AR 72740-8903 |
| Tammy L Jones | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Street Address |
609 W CLARK ST |
| City | JASPER |
| State | AR |
| Zip | 72641-0130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandi K Strode | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Tammy L Jones | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 609 W Clark St, Jasper, AR 72641-0130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tember L Mcneill | Chiropractic | 101 W Church St, Suite 340, Jasper, AR 72641 |
| City | JASPER |
| Zip Code | 72641 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | JASPER + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jacky F Dunn.
| 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.