Active NPI
Jonesboro Church Health Center
- Primary Care Nurse Practitioner
- Jonesboro, AR
National Provider Identifier
1619809506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Jonesboro, AR
- NPI 1457958233
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
- Tracy Jones, PT
- Jonesboro Ambulatory Surgery Center, LLC
- Jonesboro Anesthesia Inc
- Jonesboro Anesthesia Services LLC
- Jonesboro Care and Rehabilitation Center, LLC
- Jonesboro Ep, LLC
- Jonesboro Family Dental PLLC
- Jonesboro Health and Rehab, LLC
- Jonesboro Healthcare Center, LLC
- Jonesboro Hearing Aid Serv.
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.