Jennifer Lynn Price, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AR004876 Issued in AR

Practice address

2796 S 2ND St Ste E
Cabot, AR 72023-7043

Phone

(501) 443-3818

Fax

(501) 521-1001

NPI assigned

Sep 19, 2016

Last updated

Mar 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer L. Price, DNP, Aprn, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cabot, AR
  • NPI 1215419940

  Family

  Medicare reassignment NPD Authorized official
• M & J Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Cabot, AR
  • NPI 1003492869
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1366990343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720230927",
            "telephone_number": "501-944-4155",
            "fax_number": "501-286-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3348 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720225013",
            "country_code": "US",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AR004876",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "AR004876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217143758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denisse Pollo, PLMSW
• Michael R Poppy, APRN
• Andrew J Powell, M.D.
• Brooklyn Grace Powell
• PPG Store 5, LLC (Heartland Pharmacy Cabot)
• Professional Counseling Associates Inc.
• Robin Pruett, MCD-CCC-SLP
• Noah Rabb
• Destiny Rainbolt
• Kathy T Ralston, MS-CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Cabot, AR
• Providers in Cabot, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.