Organization · Type 2 NPI
Northeast Arkansas Clinic Charitable Foundation, Inc.
Mobile Mammography Clinic/Center · Jonesboro, AR
NPI number
1417721689
Active
Practice location
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Mobile Mammography Clinic/Center Primary | 261QR0207X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
Mobile Mammography Clinic/Center: Definition to come...
48 other providers at this address
- Alexander Um Broyles, DOInternal Medicine Physician Jonesboro, AR NPI 1114774940
- Alphonso WilsonInternal Medicine Physician Jonesboro, AR NPI 1962039958
- Andrea Duchow, DOInternal Medicine Physician Jonesboro, AR NPI 1780205740
- Benjamin Dwight Mills, DOInternal Medicine Physician Jonesboro, AR NPI 1477119543
- Carolyn M. Armstrong, APRNGerontology Nurse Practitioner Jonesboro, AR NPI 1487391306
- Casey L. Humphries, CRNACertified Registered Nurse Anesthetist Jonesboro, AR NPI 1265458459
- Christopher R. Malone, OTOccupational Therapist Jonesboro, AR NPI 1184343329
- Dalton Johnson, DNPCertified Registered Nurse Anesthetist Jonesboro, AR NPI 1568203362
- Deep Girish Patel, MDStudent in an Organized Health Care Education/Training Program Jonesboro, AR NPI 1982396313
- Dylan CanadaCertified Registered Nurse Anesthetist Jonesboro, AR NPI 1366335267
- Dylan Scott Housh, CRNACertified Registered Nurse Anesthetist Jonesboro, AR NPI 1972259745
- Fahad Khan, DOStudent in an Organized Health Care Education/Training Program Jonesboro, AR NPI 1013706605
About NPI 1417721689
Northeast Arkansas Clinic Charitable Foundation, Inc.'s National Provider Identifier is 1417721689, issued on Nov 8, 2023. The primary taxonomy on file is Mobile Mammography Clinic/Center (261QR0207X), and the practice location is in Jonesboro, AR. The record was last updated on Nov 8, 2023.