Individual provider Active NPI

Jammie M Conrey, RN

  • Registered Nurse
  • Jonesboro, AR
National Provider Identifier
1790299220
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R090308 Issued in AR
Practice address
1801 Grant Ave
Jonesboro, AR 72401-6155
Phone
(870) 974-9128
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R090308 AR Primary

Addresses

Primary practice location

1801 Grant Ave
Jonesboro, AR 72401-6155

Mailing address

321 SW Third St
Walnut Ridge, AR 72476-2308
Phone (870) 637-5903

Other practice location 1

321 SW 3rd St
Walnut Ridge, AR 72476-2308
Phone (870) 637-5903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R090308ARMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790299220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SW THIRD ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724762308",
            "telephone_number": "870-637-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 SW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Walnut Ridge",
            "state": "AR",
            "postal_code": "724762308",
            "country_code": "US",
            "telephone_number": "870-637-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONREY",
        "first_name": "JAMMIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R090308",
            "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 Mar 17, 2018; 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.