Provider Demographics
NPI:1164497327
Name:MENLEY, BARBARA DIANE (DNP, APRN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:DIANE
Last Name:MENLEY
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1331
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1331
Mailing Address - Country:US
Mailing Address - Phone:870-932-7024
Mailing Address - Fax:870-930-9377
Practice Address - Street 1:1420 MCLAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3636
Practice Address - Country:US
Practice Address - Phone:870-523-3900
Practice Address - Fax:870-523-3902
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA003782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5U156OtherBCBS
ARP00249141OtherTRAVELERS MEDICARE
AR5U156OtherBCBS
AR5U156C474Medicare PIN