Organization Active NPI

Jonesboro Church Health Center

  • Primary Care Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1619809506
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
JONESBORO CHURCH HEALTH CENTER
Practice address
500 Kitchen St
Jonesboro, AR 72401-3135
Phone
(870) 972-4777
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mrs. Tonya Michelle Lady, MPA
Title
Executive Director
Phone
(870) 972-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

500 Kitchen St
Jonesboro, AR 72401-3135

Mailing address

PO Box 924
Jonesboro, AR 72403-0924
Phone (870) 972-4777

National Provider Directory

National Provider Directory

Locations

500 Kitchen St
Jonesboro, AR 72401
Phone (870) 972-4777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1619809506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724030924",
            "telephone_number": "870-972-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KITCHEN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013135",
            "telephone_number": "870-972-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBORO CHURCH HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "LADY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-972-4777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.