Provider Demographics
NPI:1922126523
Name:NURSE MIDWIFE ASSOCIATES
Entity Type:Organization
Organization Name:NURSE MIDWIFE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:A
Authorized Official - Last Name:YARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:501-663-9205
Mailing Address - Street 1:5018 CLUB RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4706
Mailing Address - Country:US
Mailing Address - Phone:501-663-9205
Mailing Address - Fax:501-663-9205
Practice Address - Street 1:5018 CLUB RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4706
Practice Address - Country:US
Practice Address - Phone:501-663-9205
Practice Address - Fax:501-663-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM00119367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C408OtherBCBS PROVIDER ID