| Jaye Rachelle Thompson, APRN | |
|
615 N Main St, Brinkley, AR 72021-2507 | |
| (870) 734-1150 | |
| (870) 734-1179 |
| Full Name | Jaye Rachelle Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 615 N Main St, Brinkley, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811388739 | NPI | - | NPPES |
| 201481729 | Medicaid | AR | |
| 201478729 | Medicaid | AR | |
| 201479729 | Medicaid | AR | |
| 201477729 | Medicaid | AR | |
| 201482729 | Medicaid | AR | |
| 203673729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A004323 (Arkansas) | Primary |
| Entity Name | Stuttgart Medical Clinic, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861518698 PECOS PAC ID: 8123176658 Enrollment ID: O20090511000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaye Rachelle Thompson, APRN Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Jaye Rachelle Thompson, APRN 615 N Main St, Brinkley, AR 72021-2507 Ph: (870) 734-1150 |
Jessica K Malcom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1153 Fax: 870-734-1179 | |
Mrs. Courtney B Manatt, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 Fax: 870-347-3492 | |
Mrs. Heather Deann Spoon, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 Fax: 870-734-1179 | |
Angela Deree Hill, APRN-CNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 | |
Felica Shunta Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 Fax: 870-734-1179 |