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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JONESBORO CHURCH HEALTH CENTER
NPI 1619809506
Nurse Practitioner - Primary Care in Jonesboro, AR

Active since June 02, 2026
500 KITCHEN ST, JONESBORO, AR 72401(870) 972-4777 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonesboro Church Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONESBORO CHURCH HEALTH CENTER (NPI 1619809506) is a healthcare organization registered as a primary care in Jonesboro, Arkansas and active in the NPI registry since June 2026. The organization lists Tonya Michelle Lady, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619809506
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameJONESBORO CHURCH HEALTH CENTER
Location Address500 KITCHEN STJonesboro, AR 72401-3135
Mailing AddressPo Box 924Jonesboro, AR 72403-0924 · (870) 972-4777
Phone(870) 972-4777
Organization SubpartNo
Authorized OfficialTonya Michelle LadyExecutive Director · (870) 972-4777
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1619809506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
500 KITCHEN ST, Jonesboro, AR 72401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN SOFFRAY SIMMONS APRN
Nurse Practitioner (Family)
500 KITCHEN ST
JONESBORO, AR 72401
Craighead County (870) 972-4777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonesboro Church Health Center's NPI number?

The NPI number for Jonesboro Church Health Center is 1619809506. It was assigned to this organization in the NPPES registry on June 2, 2026.

Where is Jonesboro Church Health Center located?

Jonesboro Church Health Center is located at 500 Kitchen St, Jonesboro, AR 72401. The listed phone number is (870) 972-4777.

What is Jonesboro Church Health Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jonesboro Church Health Center was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.